Healthcare Provider Details

I. General information

NPI: 1902482102
Provider Name (Legal Business Name): KATI DOOLEY DAY APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2021
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S PINE ST
DERIDDER LA
70634-4939
US

IV. Provider business mailing address

PO BOX 730
DERIDDER LA
70634-0730
US

V. Phone/Fax

Practice location:
  • Phone: 337-463-9890
  • Fax: 337-462-9521
Mailing address:
  • Phone: 337-463-9890
  • Fax: 337-462-9521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number218815
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number218815
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: