Ray, Deetta J

Ray, Deetta J is an individual health care provider with primary practice located at 2900 Lamb Cir Suite 301, Christiansburg VA 24073-6344. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ray, Deetta J can be contacted via phone (540) 731-7600.

Contact Information

Primary practice address
2900 Lamb Cir Suite 301 Christiansburg VA 24073-6344
Phone: (540) 731-7600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024-165280 Virginia

Profile Details

NPI number 1265539068
LBN Legal business name Ray, Deetta J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 7th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265539068 NPPES
Virginia MEDICAID 010260256

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