Provider Demographics
NPI:1316218225
Name:BIRLING, DEANNA M (APNP)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:M
Last Name:BIRLING
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7410 W RAWSON AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8274
Mailing Address - Country:US
Mailing Address - Phone:414-427-6230
Mailing Address - Fax:414-427-6231
Practice Address - Street 1:7410 W RAWSON AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-8274
Practice Address - Country:US
Practice Address - Phone:414-427-6230
Practice Address - Fax:414-427-6231
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4742363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner