Healthcare Provider Details

I. General information

NPI: 1245821198
Provider Name (Legal Business Name): LATOYA DUGAS GRANGER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2021
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6221 S CLAIBORNE AVE STE 537
NEW ORLEANS LA
70125-4142
US

IV. Provider business mailing address

6221 S CLAIBORNE AVE STE 537
NEW ORLEANS LA
70125-4142
US

V. Phone/Fax

Practice location:
  • Phone: 888-985-5455
  • Fax:
Mailing address:
  • Phone: 888-985-5455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number218070
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: