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Individual
MICHELLE L. DEENEY
Active
Individual
MICHELLE L. DEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00248200
NJ
363A00000X
Physician Assistant
Primary
TL2265
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1079413
WELLCARE
SC
05
—
1366744989
—
NC
05
—
2101PA
—
SC
01
—
3674348
UNITED
SC
01
—
9987966
AETNA
SC
01
—
P01491958
RAILROAD MEDICARE
SC
Enumeration date
12/02/2010
Last updated
12/03/2025
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