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NPI Code Detail

MEDICARE: ADRIENNE DIFFEY VERCHER NP

MEDICARE: ADRIENNE DIFFEY VERCHER NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAP07194LA

General Provider Information

NPI Number : 1760722854
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIENNE DIFFEY VERCHER NP
Provider Business Mailing Address
First Line : 10319 JEFFERSON HWY
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-2730
Country : US
Telephone Number : 225-214-9352
Fax Number : 225-214-9349
Provider Business Practice Location Address
First Line : 14350 HIGHWAY 73
Second Line :
City : PRAIRIEVILLE
State : LA
Zip : 70769-3617
Country : US
Telephone Number : 225-313-3930
Fax Number : 225-313-3940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2013
Last Update Date : 02/26/2013

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