Brissett, Deena R
Brissett, Deena R is an individual health care provider with primary practice located at 1811 Charlton Ct , Goshen IN 46526-6464. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brissett, Deena R can be contacted via phone (574) 534-8200.Contact Information
Primary practice address
1811 Charlton Ct
Goshen IN 46526-6464
Phone: (574) 534-8200
Fax: (574) 534-0411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71001310A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 622215 | Texas |
Profile Details
| NPI number | 1720172539 |
|---|---|
| LBN Legal business name | Brissett, Deena R |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 22nd, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720172539 | NPPES |
| Texas | MEDICAID | 180329801 |
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