Individual
DEEPA GANESAN
Active
Individual
DEEPA GANESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
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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