Individual provider · Type 1 NPI

Theodora Desronvil, FNP-BC

Family Nurse Practitioner · Rocky Mount, NC

NPI number 1902394067 Active

Practice location

300 N Grace St
Rocky Mount, NC 27804-5345

Fax (252) 822-5065

Mailing address

PO Box 2723
Rocky Mount, NC 27802-2723

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X303827 (NC)
Family Nurse Practitioner Primary 363LF0000X5010560 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1902394067

Theodora Desronvil, FNP-BC's National Provider Identifier is 1902394067, issued on Apr 24, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rocky Mount, NC. The record was last updated on Jun 10, 2020.