| Doctor Name: | NANCY ELIZABETH DEEM |
| NPI Number: | 1013269745 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 5005877 |
| Business Practice Address: | 19485 Old Jetton Rd Suite 100 Cornelius, NC - 280316582 |
| Business Phone Number: | 7043841775 |
| Business Fax Number: | 7043841776 |
| Mailing Address: | Po Box 60447, CHARLOTTE |
| State: | NC |
| Postal Code: | 282600447 |
| Phone Number: | 7043841775 |
| Fax Number: | 7043841776 |
| NPI Enumeration Date: | 10/04/2012 |
| NPI Last Update Date: | 03/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 5005877 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |