Provider Demographics
NPI:1922850767
Name:GETZ, DEANNA MARIE (NP)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:MARIE
Last Name:GETZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:MARIE
Other - Last Name:JORDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:58 FREEMAN HOLW
Mailing Address - Street 2:
Mailing Address - City:LEWIS RUN
Mailing Address - State:PA
Mailing Address - Zip Code:16738-3202
Mailing Address - Country:US
Mailing Address - Phone:814-558-0613
Mailing Address - Fax:
Practice Address - Street 1:58 FREEMAN HOLW
Practice Address - Street 2:
Practice Address - City:LEWIS RUN
Practice Address - State:PA
Practice Address - Zip Code:16738-3202
Practice Address - Country:US
Practice Address - Phone:814-558-0613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029513363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily