Individual
DEANNA FUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP STUDENT
Contact information
Practice address
1423 MONTVALE ST, MONTVALE, VA 24122-2510
(540) 875-9594
Mailing address
1423 MONTVALE ST, MONTVALE, VA 24122-2510
(540) 875-9594
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0001254768
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0001254768
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001254768
LICENSE
VA
Enumeration date
12/23/2022
Last updated
12/23/2022
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