Deirdre Raven
Registered Nurse, Psych/Mental Health, Adult in Sugar Land, TX. Individual provider (NPI-1).
NPI number1619704681
StatusActive
Last updated in NPPESSep 16, 2024
Details
- NPI
- 1619704681
- Entity type
- Individual (NPI-1)
- Name
- Deirdre Raven
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2024
- Certification date
- Sep 15, 2024
- Last updated
- Sep 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | 717525 | TX | Yes |
| 163WA0400X | Registered Nurse, Addiction (Substance Use Disorder) | 717525 | TX | |
| 163WA2000X | Registered Nurse, Administrator | 717525 | TX | |
| 163WC0400X | Registered Nurse, Case Management | 717525 | TX | |
| 163WC1500X | Registered Nurse, Community Health | 717525 | TX | |
| 163WC1600X | Registered Nurse, Continuing Education/Staff Development | 717525 | TX | |
| 163WP0807X | Registered Nurse, Psych/Mental Health, Child & Adolescent | 717525 | TX | |
| 174H00000X | Health Educator | 717525 | TX | |
| 405300000X | Prevention Professional | 717525 | TX |
Practice location
15500 Voss Rd Ste 200-1067Sugar Land, TX 77498-4601
Phone 830-590-0909 · Fax 713-575-3889
Mailing address
15500 Voss Rd Ste 200-1067Sugar Land, TX 77498-4601
Phone 830-590-0909 · Fax 713-575-3889
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