DR. DEANNA L MCNULTY (NPI# 1194208736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194208736 |
| Entity Type | Individual |
| Full Name | DR. DEANNA L MCNULTY |
| Credential | DNP |
| Practice Address |
18172 County Road 1 Florissant CO 80816-9668 |
| Practice Telephone | 7198391923 |
| Mailing Telephone | 7198391923 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2020-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0994084-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1427 W Rio Grande St, Colorado Springs, CO 80905 | 7193853376 | 7193853394 |
| Street Address |
18172 COUNTY ROAD 1 |
| City | FLORISSANT |
| State | CO |
| Zip Code | 80816-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124248 | Florissant Family Medicine, LLC | Clinic/Center | 18172 County Road 1, Florissant, CO 80816-9668 | 2020-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275053761 | Mountain Key Rx | Pharmacy | 18172 Teller County Road 1, Florissant, CO 80816 | 2017-06-26 |
| 1093299570 | Brent J. Stein I | Pharmacist | 18172 Teller County Road 1, Florissant, CO 80816 | 2018-09-20 |
| 1518158104 | Sondra Sabourin | Counselor | 364 Granite Rd, Florissant, CO 80816-8219 | 2007-08-07 |
| 1255452587 | Four Mile Emergency Services, Inc. | Emergency Medical Technician, Paramedic | 8437 Teller Co. Rd. 11, Florissant, CO 80816-8609 | 2007-04-03 |
| 1619473386 | Kerry Duane Hammack | Counselor | 2277 N Mountain Estates Rd, Florissant, CO 80816-8957 | 2018-04-02 |
| 1700241361 | Monique Julia Ekker | Counselor | 13576 County Rd 1, Florissant, CO 80816-9001 | 2015-12-28 |
| 1447811518 | Stefanie Skidmore | Counselor | 13576 County Rd 1, Florissant, CO 80816-9001 | 2019-06-27 |
| 1508338575 | Outside Rein, LLC | Counselor | 13576 County Rd 1, Florissant, CO 80816-9001 | 2018-12-31 |
| 1275944910 | David Robert Jacobs | Home Health Aide | 58 Juniper Cir, Florissant, CO 80816-9008 | 2014-05-15 |
| 1013947985 | Patricia Ann Glatfelter | Specialist | 989 Matterhorn Dr, Florissant, CO 80816-9017 | 2006-07-04 |
| Find all providers in zip 80816 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053930313 | Laronda M Cutts | Nurse Practitioner | 1250 Saint Louis St, Florissant, MO 63031-4837 | 2020-04-15 |
| 1003453028 | Alaina Kamkwalala | Nurse Practitioner | 14426 Jamestown Bay Dr, Florissant, MO 63034-1744 | 2019-12-10 |
| 1922567221 | Fatou Thiam | Nurse Practitioner | 2955 Willow Creek Estates Dr, Florissant, MO 63031-1665 | 2019-03-16 |
| 1891263190 | Joy Ugonma Ekenga | Nurse Practitioner | 1240 Saint Patrice Ln, Florissant, MO 63031-7926 | 2018-11-05 |
| 1518440189 | Raishelle Lavette Willis | Nurse Practitioner | 2695 Mockingbird Ln, Florissant, MO 63031-3711 | 2018-09-10 |
| 1871027516 | Shunta Lavette Johnson | Nurse Practitioner | 385 Saint Edward Ln, Florissant, MO 63033-5460 | 2017-04-19 |
| 1609319144 | Jeanetta Stomer | Nurse Practitioner | 3391 N Highway 67, Florissant, MO 63033-1604 | 2016-12-01 |
| 1720466246 | Angela Skurat | Nurse Practitioner | 2650 Mockingbird Ln, Florissant, MO 63031-3712 | 2015-05-16 |
| 1306285986 | Samara Dalvinia Harrell | Nurse Practitioner | 1225 Graham Rd Ste C-2320, Florissant, MO 63031-8030 | 2013-06-18 |
| 1255453486 | Delores B Ware | Nurse Practitioner | 11935 Kingshead Drive, Florissant, MO 63033 | 2007-04-06 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 80816 |
Please comment or provide details below to improve the information on DR. DEANNA L MCNULTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.