Dagen, Deandra L.

Dagen, Deandra L. is an individual health care provider with primary practice located at 1950 W Frye Rd , Chandler AZ 85224-6255. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Dagen, Deandra L. can be contacted via phone (480) 895-9555.

Contact Information

Primary practice address
1950 W Frye Rd Chandler AZ 85224-6255
Phone: (480) 895-9555
Fax: (480) 895-9494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN128051 Arizona

Profile Details

NPI number 1700191426
LBN Legal business name Dagen, Deandra L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2010
Last updated Dec 29th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700191426 NPPES
Arizona MEDICAID 236276

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