Provider Demographics
NPI:1710574702
Name:BARRINGER, DEEANNA LYNN (RN)
Entity Type:Individual
Prefix:
First Name:DEEANNA
Middle Name:LYNN
Last Name:BARRINGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1468 PLATTE DR
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-7396
Mailing Address - Country:US
Mailing Address - Phone:810-228-5469
Mailing Address - Fax:
Practice Address - Street 1:4031 GRANGE HALL RD
Practice Address - Street 2:
Practice Address - City:HOLLY
Practice Address - State:MI
Practice Address - Zip Code:48442-1938
Practice Address - Country:US
Practice Address - Phone:248-634-8294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-24
Last Update Date:2020-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704268280163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse