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

Dezirae E Berry, NP-C

Individual provider Family Nurse Practitioner · NPI 1740994268

Dezirae E Berry, NP-C is a Family Nurse Practitioner in Clarkston, Washington. Licensed in Idaho and Washington. Registered with an NPI since 2023.

Licensed in
ID, WA
In the registry since
2023
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1119 Highland Ave
Clarkston, WA 99403-2836
Phone: (509) 769-2269
Fax: (509) 769-2270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 55464 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence N361446320 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 55464 (ID)

Record details

NPI number1740994268
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJanuary 9, 2023
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address1522 17th St, Lewiston, ID 83501-3652

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