Provider Demographics
NPI:1639881261
Name:DEEBES-HOWARD, NATASHA (PMHNP)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:DEEBES-HOWARD
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4174 LA MESA RD
Mailing Address - Street 2:
Mailing Address - City:BULLHEAD CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86429-7755
Mailing Address - Country:US
Mailing Address - Phone:928-514-7536
Mailing Address - Fax:
Practice Address - Street 1:1788 HIGHWAY 95 STE 22
Practice Address - Street 2:
Practice Address - City:BULLHEAD CITY
Practice Address - State:AZ
Practice Address - Zip Code:86442-6074
Practice Address - Country:US
Practice Address - Phone:928-201-0453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-14
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ284587363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health