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

Individual provider Family Nurse Practitioner · NPI 1659965408

Marylouise Deaven, CRNP is a Nurse Practitioner in Lebanon, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Union Community Care, a 21-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2021
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

920 Church St
Lebanon, PA 17046-4656
Phone: (717) 272-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP023311 (PA)

Record details

NPI number1659965408
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedFebruary 23, 2021
Last updated in NPPESFebruary 23, 2021
Certification dateJanuary 28, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Union Community Care — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lebanon