Deepa L David, NP

Individual provider Active NPI Pediatric Nurse Practitioner · Terrell, TX

NPI 1851069603 · NPPES record last updated Apr 19, 2023

Key facts

NPI
1851069603
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
AP137361 (TX)
Practice address
1446 W Moore Ave Ste 206
Terrell, TX 75160-2372
Phone
(972) 210-7350
Fax
(972) 210-7355
NPI assigned
Sep 4, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP137361TXMDPediatric Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP137361 TX Yes

Addresses

Primary practice location

1446 W Moore Ave Ste 206
Terrell, TX 75160-2372

Mailing address

1446 W Moore Ave Ste 206
Terrell, TX 75160-2372
Phone (972) 210-7350

Other providers in Terrell, TX

All providers in Terrell, TX · Pediatric Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.