Doctor Name: | FRANCES M. DEEGAN |
NPI Number: | 1104086362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 375031-1 |
Business Practice Address: | 84 Jaffee Ter Colchester, CT - 064151004 |
Business Phone Number: | 8605371465 |
Business Fax Number: | 8605371465 |
Mailing Address: | 59 Harrington Ct, COLCHESTER |
State: | CT |
Postal Code: | 064151207 |
Phone Number: | 8605372339 |
Fax Number: | 8605374747 |
NPI Enumeration Date: | 06/11/2008 |
NPI Last Update Date: | 05/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 375031-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |