Deon Eaton, BSN
Individual provider Active NPI Ambulatory Care Registered Nurse · Peach Springs, AZ
NPI 1487830246 · NPPES record last updated Jan 11, 2008
Key facts
- NPI
- 1487830246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Registered Nurse 163WP2201X
- License
- RN548691 (PA)
- Practice address
- 943 Hualapai Way
Peach Springs, AZ 86434 - Phone
- (928) 769-2900
- NPI assigned
- Jan 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor on Science - Nursing, Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN548691 | PA | MD | Ambulatory Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | RN548691 | PA | Yes |
Addresses
Primary practice location
943 Hualapai Way
Peach Springs, AZ 86434
Mailing address
PO Box 190
Peach Springs, AZ 86434-0190
Phone (928) 769-2900
Other providers in Peach Springs, AZ
- Ernestine Alva Crozier
- Amy Elaine Dashee
- DHHS IHS Phoenix Area
- DHHS IHS Phoenix Area
- DHHS IHS Phoenix Area
- Gloria C Edreira-Green
- Caroline Hazel Fielding
- Glenn S Foster
- Rebecca Anne Fox
- Lisa Christine Gaudet
All providers in Peach Springs, AZ · Ambulatory Care Registered Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2008. 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.