1033455191 NPI number — DENEDA THOMAS DAYE FNP

Table of content: DENEDA THOMAS DAYE FNP (NPI 1033455191)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033455191 NPI number — DENEDA THOMAS DAYE FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DAYE
Provider First Name:
DENEDA
Provider Middle Name:
THOMAS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033455191
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/29/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7830 N POINT BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINSTON SALEM
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27106-3261
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
743-223-3400
Provider Business Mailing Address Fax Number:
743-223-3226

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7830 N POINT BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINSTON SALEM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27106-3261
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
743-223-3400
Provider Business Practice Location Address Fax Number:
743-223-3226
Provider Enumeration Date:
12/18/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  5005943 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)