Individual provider · Type 1 NPI

Deanna Fredericks Harless, ACNP

Acute Care Nurse Practitioner · Lake Charles, LA

NPI number 1407852288 Active

Practice location

1614 Wolf Cir
Lake Charles, LA 70605-2348

Fax (337) 474-0988

Mailing address

PO Box 1786
Lake Charles, LA 70602-1786

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XRN054166 AP03616 (LA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1407852288

Deanna Fredericks Harless, ACNP's National Provider Identifier is 1407852288, issued on Jun 24, 2005. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Lake Charles, LA. The record was last updated on Dec 16, 2009.