Dedra Denise Crouse, FNP
Individual provider Active NPI Family Nurse Practitioner · Lebanon, VA
NPI 1801977988 · NPPES record last updated Sep 27, 2012
Key facts
- NPI
- 1801977988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0024166531 (VA)
- Practice address
- 75 Rogers Street
Lebanon, VA 24266 - Phone
- (276) 889-7621
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buchanan Health Diabetes Center | Past | Accepting new patients | |
| Commonwealth of Virginia State Board of Health | Past | Accepting new patients | |
| Russell County Dental Clinic | Past | Accepting new patients | |
| Buchanan Health Care LLC | Past |
Accepting new patients | |
| Virginia Department of Health | Past | Accepting new patients | |
| Portsmouth Anesthesia Associates, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024166531 | VA | Yes |
Addresses
Primary practice location
75 Rogers Street
Lebanon, VA 24266
Mailing address
PO Box 2347
Lebanon, VA 24266
Phone (276) 889-7621
Other names
- Dedra Denise Deel
Other providers in Lebanon, VA
- Paige Elizabeth Coleman
- Jennifer Denise Combs
- Greg B Cornforth
- Lauren Couch
- Emily Brooke Crabtree
- Audrey L. Culbertson
- Cumberland Mountain Community Services
- Cindy Joann Davis
- Stacy Nichole Davis
- Stephanie B Davis
All providers in Lebanon, VA · Family Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.