Individual
MS. DEBORAH DARLENE VANOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2246 NALL ST, PORT NECHES, TX 77651-4208
(409) 722-4400
(409) 722-4409
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-2609
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP123889
TX
363LF0000X
Family Nurse Practitioner
597450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K1915
MEDICARE
TX
05
—
331471808
—
TX
01
—
P02601531
MCRR
TX
Enumeration date
07/30/2013
Last updated
04/12/2021
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