Doctor Name: | DALENA ELIZABETH DEKOWSKI |
NPI Number: | 1144688383 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, FNP-C |
License Number: | AP130188 |
Business Practice Address: | 1200 Carl Ramert Dr Suite D Yoakum, TX - 779954868 |
Business Phone Number: | 3612937061 |
Business Fax Number: | 3612936559 |
Mailing Address: | 1200 Carl Ramert Dr, Suite D YOAKUM |
State: | TX |
Postal Code: | 779954868 |
Phone Number: | 3612937061 |
Fax Number: | 3612936559 |
NPI Enumeration Date: | 02/02/2016 |
NPI Last Update Date: | 02/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP130188 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |