Gleason, Deborah L.

Gleason, Deborah L. is an individual health care provider with primary practice located at 1204 W Main St , Charlottesville VA 22903-2824. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gleason, Deborah L. can be contacted via phone (434) 924-0123.

Contact Information

Primary practice address
1204 W Main St Charlottesville VA 22903-2824
Phone: (434) 924-0123
Fax: (434) 243-3300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024141256 Virginia

Profile Details

NPI number 1952425126
LBN Legal business name Gleason, Deborah L.
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Aug 9th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1952425126 NPPES
Virginia MEDICAID 010216419
Virginia Other C06115

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