MARYLOUISE DEAVEN

LEBANON, PA
NPI1659965408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP023311)
Enumeration Date2021-02-23
Last Update Date2021-02-23
Business Address
MARYLOUISE DEAVEN CRNP
920 CHURCH ST
LEBANON, PA 17046-4656
Phone number: 717-272-2700
Mailing Address
MARYLOUISE DEAVEN CRNP
304 N WATER ST
LANCASTER, PA 17603-3374
Phone number: 717-299-6371