Provider Demographics
NPI:1639250566
Name:WACHNA, DEANNA LYNNE (RN MSN FNP-C)
Entity Type:Individual
Prefix:MS
First Name:DEANNA
Middle Name:LYNNE
Last Name:WACHNA
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Gender:F
Credentials:RN MSN FNP-C
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Mailing Address - Street 1:2799 WEST GRAND BLVD
Mailing Address - Street 2:D.L. WACHNA/ACUTE CARE SURGERY-HENFY FORD HOSPITAL
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202
Mailing Address - Country:US
Mailing Address - Phone:313-916-3037
Mailing Address - Fax:313-916-9445
Practice Address - Street 1:2799 WEST GRAND BLVD
Practice Address - Street 2:DEPARTMENT OF SURGERY
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202
Practice Address - Country:US
Practice Address - Phone:313-916-3037
Practice Address - Fax:313-916-9445
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2011-03-01
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Provider Licenses
StateLicense IDTaxonomies
MI4704124016363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily