Healthcare Provider Details

I. General information

NPI: 1285870519
Provider Name (Legal Business Name): DENISE C DUGAS N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2008
Last Update Date: 11/11/2022
Certification Date: 11/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 CROWLEY RAYNE HWY STE D
CROWLEY LA
70526-8210
US

IV. Provider business mailing address

100 MONDAVI DR
LAFAYETTE LA
70503-6635
US

V. Phone/Fax

Practice location:
  • Phone: 225-769-2200
  • Fax: 833-756-2680
Mailing address:
  • Phone: 337-849-5647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNOTAVAILABLE
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: