Harless, Deanna Fredericks
Harless, Deanna Fredericks is an sole proprietor health care provider with primary practice located at 1614 Wolf Cir , Lake Charles LA 70605-2348. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Harless, Deanna Fredericks can be contacted via phone (337) 478-9653.Contact Information
Primary practice address
1614 Wolf Cir
Lake Charles LA 70605-2348
Phone: (337) 478-9653
Fax: (337) 474-0988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | RN054166 AP03616 | Louisiana |
Profile Details
| NPI number | 1407852288 |
|---|---|
| LBN Legal business name | Harless, Deanna Fredericks |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Dec 16th, 2009 - about 16 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 | 1407852288 | NPPES |
| Louisiana | MEDICAID | 1436461 |
Popular Providers
-
Henagan, Lance
1747 Imperial Blvd , Lake Charles LA 70605-5362 -
Pruitt, Timothy Michael
7601 Southcrest Pkwy , Southaven MS 38671 -
Lahaye, Katie
524 Dr Michael Debakey Dr , Lake Charles LA 70601-5725 -
Nauts, Ilea
1701 Oak Park Blvd , Lake Charles LA 70601-8911 -
Bohannan, Justin
2770 3Rd Ave Ste 350 , Lake Charles LA 70601-0404 -
Bourgeois, Lauren
4150 Nelson Rd Ste 2 , Lake Charles LA 70605-4148 -
Glann, Judith Kay
325 9Th Ave , Seattle WA 98104-2420 -
Beier, Nathan A
1701 Oak Park Blvd , Lake Charles LA 70601-8911