Provider Demographics
NPI:1841879095
Name:MARKEN, DEANNA LYNN (RN, CBE, CD)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:LYNN
Last Name:MARKEN
Suffix:
Gender:F
Credentials:RN, CBE, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4470 N 650 W
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46725-9151
Mailing Address - Country:US
Mailing Address - Phone:260-503-5088
Mailing Address - Fax:
Practice Address - Street 1:4470 N 650 W
Practice Address - Street 2:
Practice Address - City:COLUMBIA CITY
Practice Address - State:IN
Practice Address - Zip Code:46725-9151
Practice Address - Country:US
Practice Address - Phone:260-503-5088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28113701A374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula