Provider Demographics
NPI:1902885932
Name:APPERSON, DEANE WILLIAM (FNP)
Entity Type:Individual
Prefix:
First Name:DEANE
Middle Name:WILLIAM
Last Name:APPERSON
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:MR
Other - First Name:DEANE
Other - Middle Name:WILLIAM
Other - Last Name:APPERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP/CNS
Mailing Address - Street 1:3525 N CAMINO DE VIS
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-9797
Mailing Address - Country:US
Mailing Address - Phone:520-743-9844
Mailing Address - Fax:
Practice Address - Street 1:3525 N CAMINO DE VIS
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-9797
Practice Address - Country:US
Practice Address - Phone:520-743-9844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN038661363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ22728Medicare UPIN