Individual
DENISE S DEPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2801 BAY PARK DR, OREGON, OH 43616-4920
(419) 690-7653
(419) 697-7726
Mailing address
2801 BAY PARK DR, OREGON, OH 43616-4920
(419) 690-7653
(419) 697-7726
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704170733
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.13922-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42636
AANA
OH
Enumeration date
05/10/2006
Last updated
11/03/2023
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