Desiree M Dennull, FNP is a
Nurse Practitioner based in Dexter, Oregon. Desiree M Dennull is licensed to practice in Oregon (license number 10000466) and her current practice location is
38843 Dexter Rd, Dexter, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 937-2134.
NPI number for Desiree M Dennull is 1639793995 and her current mailing address is 1115 Se 164th Ave Dept 358, Vancouver, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639793995.
Provider's Profile
| Full Name | Desiree M Dennull |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Location | 38843 Dexter Rd, Dexter, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639793995
- Provider Enumeration Date: 06/02/2020
- Last Update Date: 02/20/2023
Medical Identifiers
Medical identifiers for Desiree M Dennull such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639793995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 10000466 (Oregon) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Desiree M Dennull is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Desiree M Dennull, FNP
1115 Se 164th Ave Dept 358,
Vancouver, WA 98683-8004
Ph: (360) 729-1253 | Desiree M Dennull, FNP
38843 Dexter Rd,
Dexter, OR 97431-9600
Ph: (541) 937-2134 |
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