Provider Demographics
NPI:1720885098
Name:HESS, DEANA MICHAELLE
Entity type:Individual
Prefix:
First Name:DEANA
Middle Name:MICHAELLE
Last Name:HESS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 BOYD AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:NE
Mailing Address - Zip Code:69301-3663
Mailing Address - Country:US
Mailing Address - Phone:308-760-6362
Mailing Address - Fax:
Practice Address - Street 1:407 LANE 1 ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:NE
Practice Address - Zip Code:69301-3630
Practice Address - Country:US
Practice Address - Phone:308-629-7313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion