Individual
DEANNA HERCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
12872 HARBOR DR, WOODBRIDGE, VA 22192-2921
(910) 705-8588
(910) 778-1196
Mailing address
1604 HILLTOP WEST CTR STE 215, VIRGINIA BEACH, VA 23451-6196
(757) 664-9700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024185628
VA
Other
Enumeration date
10/25/2022
Last updated
03/21/2024
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