| NPI | 1255717096 |
|---|---|
| Professional Name | CHAVONN L DEDEAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN F03240103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28246104A) |
| 164W00000X Licensed Practical Nurse (Licence: IN 27071592A) | |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2024-03-20 |