IndividualActive
Deanna Moorman, FNP-BC
NPI 1134537632 · Obstetrics & Gynecology Nurse Practitioner · Maryville, IL
Provider details
- NPI number
- 1134537632
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209011286 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2023 Vadalabene Dr
Suite 200
Maryville, IL 62062-5630
Phone: (618) 288-7408
Approximate (ZIP-level) locationGet directions
Mailing address
2023 Vadalabene Dr
Maryville, IL 62062-5630
Registry dates
- Enumerated
- 2014-07-28
- Last updated
- 2024-10-15
- Certified
- 2024-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.