Provider Demographics
NPI:1679779904
Name:DAY, PATTY SUE (RN, MSN, CNP)
Entity type:Individual
Prefix:MRS
First Name:PATTY
Middle Name:SUE
Last Name:DAY
Suffix:
Gender:F
Credentials:RN, MSN, CNP
Other - Prefix:
Other - First Name:PATTY
Other - Middle Name:SUE
Other - Last Name:MONTGOMERY-DAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, MSN, CNP
Mailing Address - Street 1:9888 E DEADFALL RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-6081
Mailing Address - Country:US
Mailing Address - Phone:513-720-2562
Mailing Address - Fax:
Practice Address - Street 1:231 WEST MAIN STREET
Practice Address - Street 2:UNIT A
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133
Practice Address - Country:US
Practice Address - Phone:937-393-3300
Practice Address - Fax:937-393-3353
Is Sole Proprietor?:No
Enumeration Date:2007-06-24
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.210158-COA1163W00000X
OHCOA.10300-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse