Most Relevant Information
Provider Data
| NPI Number: | 1003058454 |
| Provider Name: | LUANN DEAFENBAUGH NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 28067608 |
Most Important Dates
| Enumeration Date: | 04/01/2009 |
| Last Updated: | 12/15/2021 |
Provider Practice Location
1520 PROVIDENT DR
WARSAW
IN
465803291
Practice Location Phone/Fax
| Phone: | 5743723800 |
| Fax: | 5743725823 |
Provider Mailing Location
1520 PROVIDENT DR
WARSAW
IN
465803291
Provider Mailing Phone/Fax
| Phone: | 5743723800 |
| Fax: | 5743725823 |