Individual
DONNA H. DE VILLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24600 MILLSTREAM DR, SUITE 340, STONE RIDGE, VA 20105-5685
(248) 730-0985
Mailing address
24600 MILLSTREAM DR, SUITE 340, STONE RIDGE, VA 20105-5685
(248) 730-0985
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0001236598
VA
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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