Gray-Miceli, Deanna Lynn

Gray-Miceli, Deanna Lynn is an sole proprietor health care provider with primary practice located at 870 E Route 70 , Marlton NJ 08053-5566. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Gray-Miceli, Deanna Lynn can be contacted via phone (609) 790-2327.

Contact Information

Primary practice address
870 E Route 70 Marlton NJ 08053-5566
Fax: (856) 703-3000
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NN07764000 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X TP000803H Pennsylvania

Profile Details

NPI number 1710213251
LBN Legal business name Gray-Miceli, Deanna Lynn
Credentials PHD., GNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2009
Last updated Feb 24th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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