Deeanna Lynn Freeman, RN
Individual provider Active NPI Registered Nurse · Ellington, MO
NPI 1295816437 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295816437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 124123 (MO)
- Practice address
- 110 S. 2ND St.
Ellington, MO 63638 - Phone
- (573) 663-2313
- Fax
- (573) 663-2441
- NPI assigned
- Oct 17, 2006
- 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)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124123 | MO | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 124123 | MO | Yes |
Addresses
Primary practice location
110 S. 2ND St.
Ellington, MO 63638
Mailing address
PO Box 700
Ellington, MO 63638-0700
Phone (573) 663-7432
Other providers in Ellington, MO
- Natalie Donnell
- Dr. Stephen C. Waller, DDS, LLC
- Megan S Drake
- Ellington 1 Inc
- Stella Diane Fernandes
- Scott Lee Fulkerson
- John R Galloway
- Bhaskar Gupta
- Healthpro Physical Therapy LLC
- Sarah Hill
All providers in Ellington, MO · Registered Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.