=====================================================
General NPI Number Information
=====================================================
NPI Number | 1497890925
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MICHELE DENKER MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/21/2007
-----------------------------------------------------
Last Update Date | 05/04/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | FT BELVOIR COMMUNITY HOSPITAL 9300 DEWITT LOOP
-----------------------------------------------------
City | FT BELVOIR
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22060-0000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-610-8906
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | FT BELVOIR COMMUNITY HOSPITAL 9300 DEWITT LOOP
-----------------------------------------------------
City | FT BELVOIR
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22060-0000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-610-8906
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | 39363
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | 0101263646
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------