person
Deanna Fredericks Harless, ACNP
Acute Care Nurse Practitioner in Lake Charles, Louisiana
NPI 1407852288

Deanna Fredericks Harless is an Acute Care Nurse Practitioner based in Lake Charles, LA and is specialized in Acute Care. Deanna Fredericks Harless practices in Lake Charles, LA and has the professional credentials of ACNP. The NPI Number for Deanna Fredericks Harless is 1407852288 and holds a License No. RN054166 AP03616 (Louisiana).

The current practice location address for Deanna Fredericks Harless is 1614 Wolf Cir, Lake Charles, LA and can be reached out via phone at 337-478-9653 and via fax at 337-474-0988.

Location: 1614 Wolf Cir, Lake Charles, LA, 70602-1786
person
Provider Profile Details
NPI Number
1407852288
Provider Name
Deanna Fredericks Harless
Credential
ACNP
Provider Entity Type
Individual
Gender
Female
Address
1614 Wolf Cir, Lake Charles, LA, 70602-1786
Phone Number
337-478-9653
Fax Number
337-474-0988
Provider Enumeration Date
06/24/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1436461 05 LA
institution
Provider Business Practice Location Address Details
Address
1614 Wolf Cir
City
State
Zip
70605-2348
Phone Number
337-478-9653
Fax Number
337-474-0988
person
Provider Business Mailing Address Details
Address
1614 Wolf Cir
City
State
Zip
70605-2348
Phone Number
337-478-9653
Fax Number
337-474-0988
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
RN054166 AP03616 (Louisiana)
Definition
Definition to come...
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