Individual
DEANNA MAREE BEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3360 WAYNE SULLIVAN DR, PADUCAH, KY 42003-0303
(270) 443-9474
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03250351
KY
Other
Enumeration date
04/18/2025
Last updated
08/13/2025
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