Individual provider · Type 1 NPI
Katelyn Deaderick, APRN, FNP-C
Family Nurse Practitioner · Fort Leonard Wood, MO
NPI number
1639892755
Active
Practice location
4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN9581797 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | APRN11024131 (FL) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Fort Leonard Wood
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About NPI 1639892755
Katelyn Deaderick, APRN, FNP-C's National Provider Identifier is 1639892755, issued on Sep 23, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Dec 17, 2025.