Individual
DEANNA LEA HUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
2235 CLEVELAND RD, SOUTH BEND, IN 46628-3529
(574) 647-4530
(574) 647-2285
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002961A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200948620
—
IN
Enumeration date
07/20/2009
Last updated
03/31/2021
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