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Individual

DEEPA GANESAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
2724 E RIDING DR, WILMINGTON, DE 19808-3643
(646) 889-3980
Mailing address
2724 E RIDING DR, WILMINGTON, DE 19808-3643

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
363LF0000X
Family Nurse Practitioner
Primary
75385327
MD

Other

Enumeration date
06/15/2021
Last updated
02/12/2024
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