Individual
ATOOSA DEYANAT PURVEYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
100 SENTARA CIR RM 2C, WILLIAMSBURG, VA 23188-5713
(757) 984-7217
(757) 984-7210
Mailing address
856 J CLYDE MORRIS BLVD, STE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024167928
VA
Other
Enumeration date
08/05/2008
Last updated
03/28/2022
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