Deidra Dehaven Howard, Nurse Practitioner
Nurse Practitioner, Psych/Mental Health in Shenandoah, TX. Individual provider (NPI-1).
NPI number1720599558
StatusActive
Last updated in NPPESNov 2, 2023
Details
- NPI
- 1720599558
- Entity type
- Individual (NPI-1)
- Name
- Deidra Dehaven Howard
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2017
- Certification date
- Feb 7, 2023
- Last updated
- Nov 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 1020379 | TX | Yes |
| 363LF0000X | Nurse Practitioner, Family | NP95007754 | CA | |
| 363LP2300X | Nurse Practitioner, Primary Care | 1020379 | TX | |
| 363LP2300X | Nurse Practitioner, Primary Care | NP95007754 | CA |
Practice location
123 Vision Park BlvdShenandoah, TX 77384-3001
Phone 713-482-3301
Mailing address
9350 Wilshire Blvd Ste 203Beverly Hills, CA 90212-3204
Phone 323-410-3033 · Fax 323-317-2125
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All 11 Psychiatric/Mental Health Nurse Practitioner providers in Shenandoah · All 1,294 providers in Shenandoah
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