Individual ProviderKathleen A DeeganNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(727) 215-1925PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen A Deegan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 10 days ago.Profile DetailsProvider ID1245280692Provider TypeIndividualFull NameDeegan, Kathleen ACredentialARNPGenderFemaleSole ProprietorNoEnumeration Date5/10/2006Last Updated7/6/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(727) 215-1925FaxUnlisted FaxMailing LocationMailing Address4559 Lake Valencia Blvd W, Palm Harbor, FL 34684-3920PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP1266742Florida