Healthcare Provider Details

I. General information

NPI: 1992190201
Provider Name (Legal Business Name): DEANN MARIE ANDERSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2015
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7720 E BIG MEADOW DR
TUCSON AZ
85756-6159
US

IV. Provider business mailing address

7720 E BIG MEADOW DR
TUCSON AZ
85756-6159
US

V. Phone/Fax

Practice location:
  • Phone: 520-221-0043
  • Fax:
Mailing address:
  • Phone: 520-221-0043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP7721
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: