Individual provider · Type 1 NPI

Dezirae E. Berry, NP-C

Family Nurse Practitioner · Clarkston, WA

NPI number 1740994268 Active

Practice location

1119 Highland Ave
Clarkston, WA 99403-2836

Fax (509) 769-2270

Mailing address

1522 17th St
Lewiston, ID 83501-3652

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X55464 (ID)
Family Nurse Practitioner 363LF0000XN361446320 (WA)
Registered Nurse 163W00000X55464 (ID)

Family Nurse Practitioner: Definition to come...

14 other providers at this address

Other family nurse practitioner providers in Clarkston

See all in Clarkston →

About NPI 1740994268

Dezirae E. Berry, NP-C's National Provider Identifier is 1740994268, issued on Jan 9, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clarkston, WA. The record was last updated on Oct 8, 2025.