National Provider Identifier
Deborah Jean Mix, LPN
Deborah Jean Mix, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Perry, NY and a listed phone number of (585) 237-2812.
Profile Overview
- NPI
- 1639409204
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 05, 2010
- Last Updated
- January 05, 2010
Practice Location
- 6176 Oatka RD
- Pob# 306
- Perry, NY 14530-9548
Phone: (585) 237-2812
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1639409204
- Entity Type
- Individual
- Last Name
- Mix
- First Name
- Deborah
- Middle Name
- Jean
- Name Prefix
- Mrs.
- Credential
- LPN
- Mailing Street Address
- 6176 Oatka RD
- Mailing Address Line 2
- Pob# 306
- Mailing City
- Perry
- Mailing State
- NY
- Mailing ZIP Code
- 14530-9548
- Mailing Country
- US
- Mailing Phone
- (585) 237-2812
- Practice Street Address
- 6176 Oatka RD
- Practice Address Line 2
- Pob# 306
- Practice City
- Perry
- Practice State
- NY
- Practice ZIP Code
- 14530-9548
- Practice Country
- US
- Practice Phone
- (585) 237-2812
- Enumeration Date
- January 05, 2010
- Last Updated
- January 05, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)