Provider Demographics
NPI:1578379079
Name:KAPPELMANN, DEANNA MARIE (DNP, APRN, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:MARIE
Last Name:KAPPELMANN
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:698 WALNUT RDG
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-5463
Mailing Address - Country:US
Mailing Address - Phone:314-370-9001
Mailing Address - Fax:
Practice Address - Street 1:698 WALNUT RDG
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-5463
Practice Address - Country:US
Practice Address - Phone:314-370-9001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024043808363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health