Provider Demographics
NPI:1104086362
Name:DEEGAN, FRANCES M (NP)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:DEEGAN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:59 HARRINGTON CT
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-1207
Mailing Address - Country:US
Mailing Address - Phone:860-537-2339
Mailing Address - Fax:860-537-4747
Practice Address - Street 1:84 JAFFEE TER
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415-1004
Practice Address - Country:US
Practice Address - Phone:860-537-1465
Practice Address - Fax:860-537-1465
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2010-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY375031-1363LA2200X
CT004260363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health