Provider Demographics
NPI:1992310007
Name:DEWEESE, DENA FRANCES (LVN)
Entity type:Individual
Prefix:
First Name:DENA
Middle Name:FRANCES
Last Name:DEWEESE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 FILLY LN
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-4951
Mailing Address - Country:US
Mailing Address - Phone:254-624-0565
Mailing Address - Fax:
Practice Address - Street 1:705 FILLY LN
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-4951
Practice Address - Country:US
Practice Address - Phone:254-624-0565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX348985164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse