Provider Demographics
NPI:1174560452
Name:O'DAY, NANCY ELIZABETH (CRNA)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ELIZABETH
Last Name:O'DAY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:703 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SMETHPORT
Mailing Address - State:PA
Mailing Address - Zip Code:16749-1147
Mailing Address - Country:US
Mailing Address - Phone:814-887-5838
Mailing Address - Fax:814-362-8695
Practice Address - Street 1:116 INTERSTATE PKWY
Practice Address - Street 2:BRADFORD REGIONAL MEDICAL CENTER
Practice Address - City:BRADFORD
Practice Address - State:PA
Practice Address - Zip Code:16701-1036
Practice Address - Country:US
Practice Address - Phone:814-362-8674
Practice Address - Fax:814-362-8695
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN558938367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered