Individual
DEINIKA TARSHA SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2131 LYNDORA RD, VIRGINIA BEACH, VA 23464-8622
(757) 339-5590
Mailing address
2131 LYNDORA RD, VIRGINIA BEACH, VA 23464-8622
(757) 339-5590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024183341
VA
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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