Provider Demographics
NPI:1689870438
Name:ABSHIER, DEENA ILEEN (FNP)
Entity Type:Individual
Prefix:
First Name:DEENA
Middle Name:ILEEN
Last Name:ABSHIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:DEENA
Other - Middle Name:ILEEN
Other - Last Name:PREVOST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:837 N MAIN ST
Mailing Address - Street 2:SUITE #118
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-1017
Mailing Address - Country:US
Mailing Address - Phone:409-755-7744
Mailing Address - Fax:409-755-1924
Practice Address - Street 1:837 N MAIN ST
Practice Address - Street 2:SUITE #118
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-1017
Practice Address - Country:US
Practice Address - Phone:409-755-7744
Practice Address - Fax:409-755-1924
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX561587363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily