Frances M. Deegan, N.P.
Individual provider Active NPI Adult Health Nurse Practitioner · Colchester, CT
NPI 1104086362 · NPPES record last updated May 20, 2010
Key facts
- NPI
- 1104086362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 004260 (CT)
- Practice address
- 84 Jaffee Ter
Colchester, CT 06415-1004 - Phone
- (860) 537-1465
- Fax
- (860) 537-1465
- NPI assigned
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004260 | CT | MD | Clinical Social Worker |
| 4260 | CT | MD | Physical Therapist |
| 375031-1 | NY | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 375031-1 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 004260 | CT | Yes |
Addresses
Primary practice location
84 Jaffee Ter
Colchester, CT 06415-1004
Mailing address
59 Harrington CT
Colchester, CT 06415-1207
Phone (860) 537-2339
Other providers in Colchester, CT
- Michelle Crossway
- Ricardo Alberto Cuevas
- Andrea Jean Cyr
- Danielle Escobar Therapy
- Sarah Anne Davis
- Renee Marie Deichert
- Jeffrey Patrick Wilber Delucia
- Thomas Dempsey
- Hannah Derr
- Elaine Barbara Desilva
All providers in Colchester, CT · Adult Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.