Crouse, Dedra Denise

Crouse, Dedra Denise is an individual health care provider with primary practice located at 75 Rogers Street , Lebanon VA 24266. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Crouse, Dedra Denise can be contacted via phone (276) 889-7621.

Contact Information

Primary practice address
75 Rogers Street Lebanon VA 24266
Phone: (276) 889-7621
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024166531 Virginia

Profile Details

NPI number 1801977988
LBN Legal business name Crouse, Dedra Denise
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Sep 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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