Koenen, Deanna L

Koenen, Deanna L is an individual health care provider with primary practice located at 1735 E Hwy 50 Ste B , Clermont FL 34711-5189. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Koenen, Deanna L can be contacted via phone (352) 241-0549.

Contact Information

Primary practice address
1735 E Hwy 50 Ste B Clermont FL 34711-5189
Phone: (352) 241-0549
Fax: (352) 242-9325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 9167881 Florida

Profile Details

NPI number 1538591888
LBN Legal business name Koenen, Deanna L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2013
Last updated Feb 13th, 2026 - about 8 months 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 1538591888 NPPES
Florida MEDICAID 010503000

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