Individual
DEBRA L LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8152 NORTHUMBERLAND HWY, HEATHSVILLE, VA 22473-3309
(804) 580-7200
(804) 580-7063
Mailing address
8152 NORTHUMBERLAND HWY, HEATHSVILLE, VA 22473-3309
(804) 580-7200
(804) 580-7063
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024173881
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05380
GROUP PTAN
VA
Enumeration date
09/06/2016
Last updated
09/06/2016
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