Healthcare Provider Details

I. General information

NPI: 1366640500
Provider Name (Legal Business Name): DANETTE MARIE DUVAL APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANETTE MARIE DUGAS APRN

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 LA RUE FRANCE
LAFAYETTE LA
70508-3104
US

IV. Provider business mailing address

500 PATTERSON ST
LAFAYETTE LA
70501-1849
US

V. Phone/Fax

Practice location:
  • Phone: 337-769-9451
  • Fax:
Mailing address:
  • Phone: 337-769-9451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP05190
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN105325 AP05190
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: