Individual
DEAUN CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
623 BROADWAY, IMPERIAL, NE 69033-3136
(308) 883-0601
(308) 882-5993
Mailing address
PO BOX 154, IMPERIAL, NE 69033-0154
(308) 883-0601
(308) 882-5993
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
111451
NE
363LF0000X
Family Nurse Practitioner
Primary
ANP 100065
CO
Other
Enumeration date
07/08/2011
Last updated
02/25/2022
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