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DEANNA NICOLE BAZAN
NPI 1851981724
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI

Active since January 24, 2021
3300 36TH ST SE, GRAND RAPIDS, MI 49512(616) 942-2110 Get Directions Write a Review

NPPES record last updated: January 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deanna Nicole Bazan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEANNA NICOLE BAZAN (NPI 1851981724) is an individual student in an organized health care education/training program in Grand Rapids, Michigan and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1851981724
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDEANNA NICOLE BAZAN
Location Address3300 36TH ST SEGrand Rapids, MI 49512-2810
Mailing Address931 Shadybrook DrHolland, MI 49424-1600
Phone(616) 942-2110
Sole ProprietorNo
Enumeration DateJanuary 24, 2021
NPPES CertifiedJanuary 24, 2021
✔ NPI 1851981724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSocial WorkerTaxonomy 104100000X
3300 36TH ST SE, Grand Rapids, MI 49512
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Other Identifiers 1

OtherB250139630787MI · None

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE E. KUNNEN DNP, FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MEGAN ELINOR JOHNSON BCBA
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2810
MALINNA I MACK
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
ALEIGHA DROUGHN
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MATTHEW JOHN MANNIKKO
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CLARISSA LEE GREER
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MARGARET GRACE GILLICH
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CATHERINE ROSE KUIPERS RN
Student in an Organized Health Care Education/Training Program
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deanna Bazan's NPI number?

The NPI number for Deanna Bazan is 1851981724. It was assigned to this individual provider in the NPPES registry on January 24, 2021.

Where is Deanna Bazan located?

Deanna Bazan practices at 3300 36th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 942-2110.

What is Deanna Bazan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Deanna Bazan was last updated on January 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.