Individual
MICHELLE ELAINE DEANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP ACNPC-AG
Contact information
Practice address
736 BATTLEFIELD BLVD N # BLVEN, CHESAPEAKE, VA 23320-4941
(757) 490-9388
(757) 490-9401
Mailing address
131 TULIP TREE DR, CAMDEN, NC 27921-8330
(252) 619-1456
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024180458
VA
363LF0000X
Family Nurse Practitioner
Primary
0024180458
VA
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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