MEDICARE: DEANE WILLIAM APPERSON F.N.P.

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	RN038661	AZ

General Provider Information

NPI Number	:	1902885932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANE WILLIAM APPERSON F.N.P.

Provider Business Mailing Address
First Line	:	3525 N CAMINO DE VIS
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745-9797
Country	:	US
Telephone Number	:	520-743-9844
Fax Number	:

Provider Business Practice Location Address
First Line	:	3525 N CAMINO DE VIS
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745-9797
Country	:	US
Telephone Number	:	520-743-9844
Fax Number	:

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

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	07/17/2007

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