Provider Demographics
NPI:1629578307
Name:ARMSTEAD, DENISE (FNP)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:ARMSTEAD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 504
Mailing Address - Street 2:
Mailing Address - City:CORRIGAN
Mailing Address - State:TX
Mailing Address - Zip Code:75939-0504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:118 MARTIN LUTHER KING BLVD
Practice Address - Street 2:
Practice Address - City:CORRIGAN
Practice Address - State:TX
Practice Address - Zip Code:75939-2164
Practice Address - Country:US
Practice Address - Phone:936-526-1331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX318851164X00000X
TX1152226363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No164X00000XNursing Service ProvidersLicensed Vocational Nurse