Provider Demographics
NPI:1588163786
Name:RAINEY, DEBRA DENISE (RN)
Entity type:Individual
Prefix:MISS
First Name:DEBRA
Middle Name:DENISE
Last Name:RAINEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2567 BAYWOOD ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45406-1410
Mailing Address - Country:US
Mailing Address - Phone:937-554-0918
Mailing Address - Fax:
Practice Address - Street 1:2567 BAYWOOD ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-1410
Practice Address - Country:US
Practice Address - Phone:937-554-0918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-03
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.469200163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical