IndividualActive
Desiree Dennull, FNP
NPI 1639793995 · Nurse Practitioner · Dexter, OR
Provider details
- NPI number
- 1639793995
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 10000466 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
38843 Dexter Rd
Dexter, OR 97431-9600
Phone: (541) 937-2134
Fax: (541) 937-1370
Approximate (ZIP-level) locationGet directions
Mailing address
1115 Se 164th Ave Dept 358
Vancouver, WA 98683-8004
Additional practice locations (3)
- 1515 Village DrCottage Grove, OR 97424-9700Phone: (541) 767-5200Fax: (541) 767-5399
- 180 Melton RdCreswell, OR 97426-9453Phone: (541) 222-7700Fax: (541) 895-5426
- 970 1st AveSweet Home, OR 97386-1902Phone: (541) 905-5020
Registry dates
- Enumerated
- 2020-06-02
- Last updated
- 2023-02-20
- Certified
- 2023-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.