Individual
NICOLE LESLIE DEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-2000
Mailing address
5850 CAMERON RUN TER APT 215, ALEXANDRIA, VA 22303-2715
(609) 457-7120
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN1046412
DC
Other
Enumeration date
04/28/2019
Last updated
04/28/2019
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