CHAVONN L DEDEAUX

MERRILLVILLE, IN
NPI1255717096
Professional NameCHAVONN L DEDEAUX
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  F03240103)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28246104A)
164W00000X Licensed Practical Nurse
(Licence: IN  27071592A)
Enumeration Date2015-08-04
Last Update Date2024-03-20
Business Address
CHAVONN L DEDEAUX FNP-C
5495 BROADWAY
MERRILLVILLE, IN 46410-1647
Phone number: 219-884-4900
Mailing Address
CHAVONN L DEDEAUX FNP-C
4187 JEFFERSON ST
GARY, IN 46408-2833
Phone number: 708-271-3973