Provider Demographics
NPI:1861621385
Name:LITTELL, DEANNA SUE (ARNP)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:SUE
Last Name:LITTELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3840 NW 35TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-8120
Mailing Address - Country:US
Mailing Address - Phone:352-378-4691
Mailing Address - Fax:352-374-6823
Practice Address - Street 1:914 NW 13TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-4140
Practice Address - Country:US
Practice Address - Phone:352-377-0881
Practice Address - Fax:352-374-6823
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL859362363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health