person
Desiree Raquel Outlaw, NP
Family Nurse Practitioner in Hampton, Virginia
NPI 1790051910

Desiree Raquel Outlaw is a Family Nurse Practitioner based in Hampton, VA and is specialized in Family. Desiree Raquel Outlaw practices in Hampton, VA and has the professional credentials of NP. The NPI Number for Desiree Raquel Outlaw is 1790051910 and holds a License No. 337212 (Virginia).

The current practice location address for Desiree Raquel Outlaw is 1328 E Pembroke Ave, Hampton, VA and can be reached out via phone at 757-379-1660 and via fax at 855-679-9729.

Location: 1328 E Pembroke Ave, Hampton, VA, 23669-2445
person
Provider Profile Details
NPI Number
1790051910
Provider Name
Desiree Raquel Outlaw
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1328 E Pembroke Ave, Hampton, VA, 23669-2445
Phone Number
757-379-1660
Fax Number
855-679-9729
Provider Enumeration Date
04/02/2012
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
1328 E Pembroke Ave
City
State
Zip
23669-2445
Phone Number
757-379-1660
Fax Number
855-679-9729
person
Provider Business Mailing Address Details
Address
1328 E Pembroke Ave
City
State
Zip
23669-2445
Phone Number
757-379-1660
Fax Number
855-679-9729
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
337212 (New York)
Definition
Definition to come...
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