Healthcare Provider Details

I. General information

NPI: 1861335564
Provider Name (Legal Business Name): FRANKE'A DANAY BERGERON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 AVENUE G
KENTWOOD LA
70444-2601
US

IV. Provider business mailing address

47421 MYRA CV
ROBERT LA
70455-4713
US

V. Phone/Fax

Practice location:
  • Phone: 225-306-2067
  • Fax: 985-229-6828
Mailing address:
  • Phone: 985-974-0697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number206945
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: