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Individual
DEANNA PANTALEO
Active
Individual
DEANNA PANTALEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
SP013895
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
SP013895
PA
363LF0000X
Family Nurse Practitioner
SP013895
PA
363LP2300X
Primary Care Nurse Practitioner
SP013895
PA
Other
Enumeration date
07/14/2014
Last updated
11/22/2023
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