Individual
SUSAN M DE ABATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 FIRST COLONIAL RD, SENTARA VIRGINIA BEACH GENERAL HOSPITAL DIABETES CENTER, VIRGINIA BEACH, VA 23454-3002
(757) 395-8836
Mailing address
1060 FIRST COLONIAL RD, SENTARA VIRGINIA BEACH GENERAL HOSPITAL DIABETES CENTER, VIRGINIA BEACH, VA 23454-3002
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
0001076124
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6875147
DPRP ASSIGNED ORGANIZATIONAL CODE
—
Enumeration date
04/19/2021
Last updated
04/19/2021
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