MEDICARE: HEATHER E. DEEL APRN, FNP-C

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
1	363LF0000X	Family Nurse Practitioner	3009709	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861869752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER E. DEEL APRN, FNP-C

Provider Business Mailing Address
First Line	:	101 N MAIN ST
Second Line	:
City	:	STANTON
State	:	KY
Zip	:	40380-2174
Country	:	US
Telephone Number	:	606-775-0515
Fax Number	:	606-552-0964

Provider Business Practice Location Address
First Line	:	101 N MAIN ST
Second Line	:
City	:	STANTON
State	:	KY
Zip	:	40380-2174
Country	:	US
Telephone Number	:	606-775-0515
Fax Number	:	606-552-0964

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2015
Last Update Date	:	12/04/2025

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