Individual
MS. DEBORAH CARROLL GOOTEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC NURSE PR
Contact information
Practice address
20306 BADGER LANE, ONLEY, VA 23418
(757) 414-0400
(757) 414-0569
Mailing address
20306 BADGER LANE, ONLEY, VA 23418
(757) 414-0400
(757) 414-0569
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R053273
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024187321
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R053273
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
522156095
COMMERCIAL INS
MD
05
—
609550002
—
MD
05
—
774800100
—
MD
Enumeration date
09/26/2005
Last updated
04/20/2026
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