Provider Demographics
NPI:1629307988
Name:BABER, DEANNA MICHELLE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:MICHELLE
Last Name:BABER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4230 HOSPITAL DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32446-1934
Mailing Address - Country:US
Mailing Address - Phone:850-526-6711
Mailing Address - Fax:850-526-5021
Practice Address - Street 1:4230 HOSPITAL DR
Practice Address - Street 2:SUITE 209
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32446-1934
Practice Address - Country:US
Practice Address - Phone:850-526-6711
Practice Address - Fax:850-526-5021
Is Sole Proprietor?:No
Enumeration Date:2009-12-16
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP 9181644363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily