Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deanna Phan, CNP

Individual provider Gerontology Nurse Practitioner · NPI 1215620430

Deanna Phan, CNP is a Nurse Practitioner in Edina, Minnesota. Qualified in 2023, 3 years ago. Practices with Minneapolis Clinic of Neurology Ltd, a 75-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2023
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

3400 W 66th St Ste 150
Edina, MN 55435-2109
Phone: (952) 920-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 10144 (MN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 10144 (MN)

Record details

NPI number1215620430
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedJune 1, 2023
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address21381 Hytrail Cir, Lakeville, MN 55044-6035

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Minneapolis Clinic Of Neurology Ltd — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Edina