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Individual

DEANDRA HOOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2542
SC
363L00000X
Nurse Practitioner
5005540
NC
363LN0000X
Neonatal Nurse Practitioner
Primary
2542
SC

Other

Enumeration date
11/10/2008
Last updated
10/29/2018
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