Individual
ERICA LYNN DEENIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1001 CALUMET AVE, DYER, IN 46311-1596
(219) 924-8178
Mailing address
1001 CALUMET AVE, DYER, IN 46311-1596
(219) 924-8178
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2019052720
IN
363LF0000X
Family Nurse Practitioner
Primary
71009656A
IN
Other
Enumeration date
09/30/2019
Last updated
12/07/2022
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