Individual
ELIZABETH A DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
300139
NC
363LP0200X
Pediatric Nurse Practitioner
75702
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
300139
NC
Other
Enumeration date
06/08/2005
Last updated
09/15/2015
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