Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derral Prowant

Individual provider Registered Nurse · NPI 1982835724

Derral Prowant is a Registered Nurse in APO, Armed Forces Pacific. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

121ST Csh Unit 15244 Box 805
APO, AP 96205-5244
Phone: (315) 737-5430

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN128584 (AZ)

Record details

NPI number1982835724
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 28, 2009
Last updated in NPPESJuly 28, 2009
Mailing address121st Csh, Unit 15244 Box 805, Apo, AP 96205-5244

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