Deanna Dertz, M.S.
Individual provider Active NPI Case Manager/Care Coordinator · Shawano, WI
NPI 1972931665 · NPPES record last updated Oct 16, 2013
Key facts
- NPI
- 1972931665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 504 Lakeland Rd
Shawano, WI 54166-3836 - Phone
- (715) 526-5547
- Fax
- (715) 526-5542
- NPI assigned
- Oct 16, 2013
- 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
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
504 Lakeland Rd
Shawano, WI 54166-3836
Mailing address
504 Lakeland Rd
Shawano, WI 54166-3836
Phone (715) 526-5547
Other providers in Shawano, WI
- Erin Davids
- Deborah Peterman Counseling
- Shari Ann Delisle
- Jessica Beth Delzer
- Heather Demerath
- Teresa Dewey
- Christine Ann Dietrich
- Ashley Divito
- Angela Dawn Divjak
- Rebecca L Donnay
All providers in Shawano, WI · Case Manager/Care Coordinator in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2013. 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.