Luann Deafenbaugh
Nurse Practitioner - Family Medicine
1520 Provident Dr
Warsaw
, Indiana 46580-3291
Luann Deafenbaugh
Nurse Practitioner - Family Medicine
1520 Provident Dr
Warsaw
, Indiana 46580-3291
(574) 372-5823
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Luann Deafenbaugh
- 1520 Provident Dr
- Warsaw, IN
- Zip : 46580-3291
- Fax : (574) 372-5823
- Phone : (574) 372-3800
Second Address
- Luann Deafenbaugh
- 1520 Provident Dr
- Warsaw, IN
- Zip : 46580-3291
- Fax : (574) 372-5823
- Phone : (574) 372-3800
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What type of doctor is Luann Deafenbaugh
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Is Luann Deafenbaugh a sole practitioner?
Is Luann Deafenbaugh accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 28067608 | IN |
National Provider Identifier
| NPI | 1003058454 |
|---|---|
| Provider Name | Luann Deafenbaugh |
| First Address | Warsaw, IN 46580-3291 |
| Second Address | Warsaw, IN 46580-3291 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2009 |
| Last Update Date | 15/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.