Individual
DEENA PERVEZ HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 985-6920
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041423630
IL
363L00000X
Nurse Practitioner
1304557-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
0024193954
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H250-1759-2713
DRIVER'S LICENSE
IL
Enumeration date
04/07/2022
Last updated
12/22/2025
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