# KATRINA J. DESHANEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1689826299
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 085004361 | IL | — |
| 363A00000X | Physician Assistant | 1489 | NH | Yes |

## Other

- **Enumeration date:** 10/14/2008
- **Last updated:** 12/10/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 433129199 | — | ME |
| 01 | — | MM9086 | MEDICARE GROUP NUMBER | ME |