Desronvil, Theodora

Desronvil, Theodora is an sole proprietor health care provider with primary practice located at 300 N Grace St , Rocky Mount NC 27804-5345. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Desronvil, Theodora can be contacted via phone (252) 210-9856.

Contact Information

Primary practice address
300 N Grace St Rocky Mount NC 27804-5345
Phone: (252) 210-9856
Fax: (252) 822-5065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 303827 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5010560 North Carolina

Profile Details

NPI number 1902394067
LBN Legal business name Desronvil, Theodora
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2018
Last updated Jun 10th, 2020 - about 6 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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