Individual
DEANNA C. CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 HARRISON PKWY, #200, SUNRISE, FL 33323-2853
(954) 838-2371
Mailing address
PO BOX 452319, SUNRISE, FL 33345-2319
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
679157
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181012304
—
TX
05
—
181072303
—
TX
05
—
181072305
—
TX
01
—
8542UA
BCBS
TX
Enumeration date
02/02/2006
Last updated
03/04/2011
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