Haralson, Deidra
Haralson, Deidra is an sole proprietor health care provider with primary practice located at 13900 Church Hill Dr , Woodbridge VA 22191-2131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Haralson, Deidra can be contacted via phone (703) 335-2779.Contact Information
Primary practice address
13900 Church Hill Dr
Woodbridge VA 22191-2131
Phone: (703) 335-2779
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024176534 | Virginia |
Profile Details
| NPI number | 1609512292 |
|---|---|
| LBN Legal business name | Haralson, Deidra |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2022 |
| Last updated | Feb 8th, 2023 - about 2 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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