Provider Demographics
NPI:1538720404
Name:CASIANO, DEANNA MAE (MSN-APRN-PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:MAE
Last Name:CASIANO
Suffix:
Gender:F
Credentials:MSN-APRN-PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1073
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-1073
Mailing Address - Country:US
Mailing Address - Phone:907-707-1201
Mailing Address - Fax:907-707-1202
Practice Address - Street 1:634 S BAILEY ST STE 100
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6360
Practice Address - Country:US
Practice Address - Phone:907-707-1201
Practice Address - Fax:907-707-1202
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK146213363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health