Lookup NPI Numbers from the NPI Registry
NPI Profile for THEODORA DESRONVIL in ROCKY MOUNT, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI Number | 1902394067 |
|
| Status | Active | |
| Credentials | FNP-BC (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 04/24/2018 | |
| Last updated | 06/10/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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THEODORA DESRONVIL
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THEODORA DESRONVIL, FNP-BC