Individual provider · Type 1 NPI

Marylouise Deaven, CRNP

Family Nurse Practitioner · Lebanon, PA

NPI number 1659965408 Active

Practice location

920 Church St
Lebanon, PA 17046-4656

Mailing address

304 N Water St
Lancaster, PA 17603-3374

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP023311 (PA)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1659965408

Marylouise Deaven, CRNP's National Provider Identifier is 1659965408, issued on Feb 23, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lebanon, PA. The record was last updated on Feb 23, 2021.