Individual provider · NPI-1

Debra S Anderson, CPNP

Nurse Practitioner, Pediatrics · Norfolk, VA

NPI number1376819573
StatusActive
Last updated in NPPESMar 27, 2023

Details

NPI
1376819573
Entity type
Individual (NPI-1)
Name
Debra S Anderson
Credential
CPNP
Sex
Female
Sole proprietor
No
Enumeration date
Apr 2, 2012
Certification date
Mar 27, 2023
Last updated
Mar 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics0024115130VAYes

Practice location

601 Childrens Ln
Department Of Cardiology
Norfolk, VA 23507-1910

Phone 757-668-7213 · Fax 757-668-8225

Mailing address

1924 Landstown Centre Way Ste 301
Virginia Beach, VA 23456-1624

Phone 757-668-7035 · Fax 757-668-7809

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