Healthcare Provider Details

I. General information

NPI: 1699112342
Provider Name (Legal Business Name): KATE E DEANS AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2013
Last Update Date: 04/18/2022
Certification Date: 04/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7703 FLOYD CURL DR
SAN ANTONIO TX
78229-3901
US

IV. Provider business mailing address

98-1079 MOANALUA RD PMMC CARDIOLOGY SERVICES SUITE 640
AIEA HI
96701-4713
US

V. Phone/Fax

Practice location:
  • Phone: 210-450-4603
  • Fax:
Mailing address:
  • Phone: 808-485-4553
  • Fax: 808-485-4447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number749224
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-68157
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN-1568
License Number StateHI
# 4
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1074343
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: