Doctor Name: | DEBORAH VERUCCHI |
NPI Number: | 1346318441 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | 0000007251 |
Business Practice Address: | 4250 Bethel Rd 5th Floor Olive Branch, MS - 386548737 |
Business Phone Number: | 6629329544 |
Business Fax Number: | 6629329554 |
Mailing Address: | Po Box 1000, Dept #978 MEMPHIS |
State: | TN |
Postal Code: | 381480001 |
Phone Number: | 9017589900 |
Fax Number: | 9017522335 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 02/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 0000007251 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |