Individual provider · Type 1 NPI

Deidra Dehaven Howard, NURSE PRACTITIONER

Psychiatric/Mental Health Nurse Practitioner · Shenandoah, TX

NPI number 1720599558 Active

Practice location

123 Vision Park Blvd
Shenandoah, TX 77384-3001

Mailing address

9350 Wilshire Blvd Ste 203
Beverly Hills, CA 90212-3204

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XNP95007754 (CA)
Primary Care Nurse Practitioner 363LP2300X1020379 (TX)
Primary Care Nurse Practitioner 363LP2300XNP95007754 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X1020379 (TX)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1720599558

Deidra Dehaven Howard, NURSE PRACTITIONER's National Provider Identifier is 1720599558, issued on Oct 19, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Shenandoah, TX. The record was last updated on Nov 2, 2023.