NPI

Deanna Moore

NPI 1447804752

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
FNP
Type
Individual
Enumeration date
2019-07-25
Last updated
2026-09-08

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Specialties

Licenses

License VA
0024193943
License AL
3-003110
License IL
209035995
License TX
1245509
License HI
5940
License PA
SP036433
License FL
APRN11049689
License NC
F03190439
License MO
2026036722
License MS
908619
License SC
32680
License TN
42334

Location

Practice location
PO Box 211699
City
Eagan MN
Postal code
55121-3699
Phone
(866) 849-0692

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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