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 4 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