Kavanaugh, Deanna L

Kavanaugh, Deanna L is an individual health care provider with primary practice located at 4100 Lake Otis Pkwy Ste 222 , Anchorage AK 99508-5230. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Kavanaugh, Deanna L can be contacted via phone (907) 550-6100.

Contact Information

Primary practice address
4100 Lake Otis Pkwy Ste 222 Anchorage AK 99508-5230
Phone: (907) 550-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 342 Alaska

Profile Details

NPI number 1710921077
LBN Legal business name Kavanaugh, Deanna L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Oct 18th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710921077 NPPES
Alaska Other 342 PROFESSIONAL LISCENSE
Alaska MEDICAID AN1290 PROFESSIONAL LISCENSE

Popular Providers