Provider Demographics
NPI:1871669275
Name:MACLAREN, DEANNA ENGLAND (FNPC)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:ENGLAND
Last Name:MACLAREN
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1173 PALATKA PL SE
Mailing Address - Street 2:
Mailing Address - City:BOLIVIA
Mailing Address - State:NC
Mailing Address - Zip Code:28422-7472
Mailing Address - Country:US
Mailing Address - Phone:828-442-8941
Mailing Address - Fax:
Practice Address - Street 1:18 DOCTORS CIR
Practice Address - Street 2:
Practice Address - City:SUPPLY
Practice Address - State:NC
Practice Address - Zip Code:28462-1101
Practice Address - Country:US
Practice Address - Phone:910-754-6141
Practice Address - Fax:910-343-5223
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0201842363LF0000X
NC201842363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7003753Medicaid
NC2592475Medicare PIN
NC7003753Medicaid