Individual provider · Type 1 NPI

Desiree Glenn Demanawa, FNP

Primary Care Nurse Practitioner · Temple, TX

NPI number 1740973577 Active

Practice location

2401 S 31st St
Temple, TX 76508-0001

Call (254) 724-2111 Map

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other practice locations

  • 2401 S 31st 5 North, Temple, TX 76508-0001 · (561) 371-0460

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X1017094 (TX)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1740973577

Desiree Glenn Demanawa, FNP's National Provider Identifier is 1740973577, issued on May 29, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Temple, TX. The record was last updated on Sep 12, 2023.