Bacon, Deidra Dawn

Bacon, Deidra Dawn is an individual health care provider with primary practice located at 577 S River Rd , St George UT 84790-2097. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bacon, Deidra Dawn can be contacted via phone (435) 688-6000.

Contact Information

Primary practice address
577 S River Rd St George UT 84790-2097
Phone: (435) 688-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 197702-4405 Utah

Profile Details

NPI number 1700020369
LBN Legal business name Bacon, Deidra Dawn
Credentials APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2009
Last updated Aug 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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