Individual provider · Type 1 NPI

Desiree M. Dennull, FNP

Nurse Practitioner · Dexter, OR

NPI number 1639793995 Active

Practice location

38843 Dexter Rd
Dexter, OR 97431-9600

Fax (541) 937-1370

Mailing address

1115 SE 164th Ave Dept 358
Vancouver, WA 98683-8004

Other practice locations

  • 1515 Village Dr, Cottage Grove, OR 97424-9700 · (541) 767-5200
  • 180 Melton Rd, Creswell, OR 97426-9453 · (541) 222-7700
  • 970 1st Ave, Sweet Home, OR 97386-1902 · (541) 905-5020

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X10000466 (OR)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

3 other providers at this address

About NPI 1639793995

Desiree M. Dennull, FNP's National Provider Identifier is 1639793995, issued on Jun 2, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dexter, OR. The record was last updated on Feb 20, 2023.