Kamphuis, Deanna C

Kamphuis, Deanna C is an individual health care provider with primary practice located at 1455 E Bert Kouns Loop , Shreveport LA 71105-5634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kamphuis, Deanna C can be contacted via phone (318) 798-4577.

Contact Information

Primary practice address
1455 E Bert Kouns Loop Shreveport LA 71105-5634
Fax: (318) 798-4672
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN046670 Louisiana

Profile Details

NPI number 1437153319
LBN Legal business name Kamphuis, Deanna C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Dec 11th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437153319 NPPES
Louisiana MEDICAID 1434621

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