Doctor Name: | MRS. VANESSA L. DEMOSS |
NPI Number: | 1336498666 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 21622 |
Business Practice Address: | 31660 Hwy 3 Weaverville, CA - 960932969 |
Business Phone Number: | 5306236777 |
Business Fax Number: | 5306235120 |
Mailing Address: | Po Box 2969, 31660 Hwy 3 WEAVERVILLE |
State: | CA |
Postal Code: | 960932969 |
Phone Number: | 5306236777 |
Fax Number: | 5306235120 |
NPI Enumeration Date: | 08/31/2012 |
NPI Last Update Date: | 08/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 21622 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |