Healthcare Provider Details

I. General information

NPI: 1306228895
Provider Name (Legal Business Name): VALERIE DEVEREAUX DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2015
Last Update Date: 06/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 N DUPONT HWY
NEW CASTLE DE
19720-1100
US

IV. Provider business mailing address

PO BOX 12464
WILMINGTON DE
19850-2464
US

V. Phone/Fax

Practice location:
  • Phone: 302-255-2766
  • Fax:
Mailing address:
  • Phone: 302-255-2766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN0011511
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: