Deanna C Clinton, | |
1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 | |
(954) 838-2371 | |
Not Available |
Full Name | Deanna C Clinton |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1613 Harrison Pkwy, Sunrise, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700858107 | NPI | - | NPPES |
181072303 | Medicaid | TX | |
8542UA | Other | TX | BCBS |
181072305 | Medicaid | TX | |
181012304 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 679157 (Texas) | Primary |
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Entity Name | Endo Sedation Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
Mailing Address | Practice Location Address |
---|---|
Deanna C Clinton, Po Box 452319, Sunrise, FL 33345-2319 Ph: () - | Deanna C Clinton, 1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 Ph: (954) 838-2371 |
Ashley Wald Lafferty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, Suite 200, Sunrise, FL 33323 Phone: 954-838-2588 Fax: 954-514-3979 | |
Velda M. Vandling, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Mary T Mitchell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14050 Nw 14th St Ste 190, Sunrise, FL 33323 Phone: 800-424-3672 Fax: 954-377-3042 | |
Gilfredo Figueroa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Chales A. Noyes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Wanda L. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Carol Rimron Pfrogner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 |