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NPI Code Detail

MEDICARE: DANA MARIE DEICHMANN PMHNP

MEDICARE: DANA MARIE DEICHMANN PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner5581113ID

General Provider Information

NPI Number : 1518891506
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA MARIE DEICHMANN PMHNP
Provider Business Mailing Address
First Line : 217 W GEORGIA AVE STE 120
Second Line :
City : NAMPA
State : ID
Zip : 83686-6812
Country : US
Telephone Number : 208-498-1760
Fax Number :
Provider Business Practice Location Address
First Line : 217 W GEORGIA AVE STE 120
Second Line :
City : NAMPA
State : ID
Zip : 83686-6812
Country : US
Telephone Number : 208-498-1760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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