Individual
KRISTIN BROOKE DEHOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 J CLYDE MORRIS BLVD, SUITE 603, NEWPORT NEWS, VA 23601
(757) 534-5340
(757) 594-3456
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024173246
VA
364SF0001X
Family Health Clinical Nurse Specialist
0024173246
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457719106
—
VA
Enumeration date
02/09/2016
Last updated
05/17/2018
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