person
Ivy Elizabeth Deegan, CRNP
Psychiatric/Mental Health Nurse Practitioner in Erie, Pennsylvania
NPI 1356088272

Ivy Elizabeth Deegan is a Psychiatric/Mental Health Nurse Practitioner based in Erie, PA and is specialized in Psychiatric/Mental Health. Ivy Elizabeth Deegan practices in Erie, PA and has the professional credentials of CRNP. The NPI Number for Ivy Elizabeth Deegan is 1356088272 and holds a License No. SP025602 (Pennsylvania).

The current practice location address for Ivy Elizabeth Deegan is 4740 Peach St, Erie, PA and can be reached out via phone at 814-454-3174 and via fax at 814-616-8002. You can also correspond with Ivy Elizabeth Deegan through the mailing address at 1 LECOM PL, ERIE, PA - 16505-2571 (mailing address contact number: 814-868-2507).

Location: 4740 Peach St, Erie, PA, 16505-2571
person
Provider Profile Details
NPI Number
1356088272
Provider Name
Ivy Elizabeth Deegan
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
4740 Peach St, Erie, PA, 16505-2571
Phone Number
814-454-3174
Fax Number
814-616-8002
Provider Enumeration Date
05/13/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN682711 01 PA MEDICAL LICENSE
SP025602 01 PA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
4740 Peach St
City
State
Zip
16509-2008
Phone Number
814-454-3174
Fax Number
814-616-8002
person
Provider Business Mailing Address Details
Address
4740 Peach St
City
State
Zip
16509-2008
Phone Number
814-454-3174
Fax Number
814-616-8002
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
SP025602 (Pennsylvania)
Definition
Definition to come...
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