Ibrahim, Deanna

Ibrahim, Deanna is an individual health care provider with primary practice located at 10101 Park Rowe Ave Ste 200 , Baton Rouge LA 70810-1685. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ibrahim, Deanna can be contacted via phone (225) 768-2164.

Contact Information

Primary practice address
10101 Park Rowe Ave Ste 200 Baton Rouge LA 70810-1685
Fax: (833) 756-2680
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 210673 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 210673 Louisiana

Profile Details

NPI number 1497473268
LBN Legal business name Ibrahim, Deanna
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2022
Last updated Mar 31st, 2023 - about last year

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 1497473268 NPPES
Louisiana Other 210673 NP LICENSE NUMBER

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