Individual
DEANNA T PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, WHNP
Contact information
Practice address
40520 CTY HWY 34, WHITE EARTH INDIAN HEALTH SERVICE, OGEMA, MN 56569-9612
(218) 983-6212
(218) 983-6369
Mailing address
40520 CTY HWY 34, WHITE EARTH INDIAN HEALTH SERVICE, OGEMA, MN 56569-9612
(218) 983-6212
(218) 983-6369
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1493548
MN
163WG0000X
General Practice Registered Nurse
R1493548
MN
163WP2201X
Ambulatory Care Registered Nurse
R1493548
MN
363LW0102X
Women's Health Nurse Practitioner
Primary
R-149354-8
MN
Other
Enumeration date
05/03/2006
Last updated
03/07/2017
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