1013416007 NPI number — MRS. DAMETRA DANIELLE TAYLOR FNP

Table of content: MRS. DAMETRA DANIELLE TAYLOR FNP (NPI 1013416007)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013416007 NPI number — MRS. DAMETRA DANIELLE TAYLOR FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAYLOR
Provider First Name:
DAMETRA
Provider Middle Name:
DANIELLE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013416007
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/22/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
806 JEFFERSON TER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW IBERIA
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70560-5727
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-365-4945
Provider Business Mailing Address Fax Number:
337-376-6860

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1050 N ROBINSON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANY
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71449-3536
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-256-8150
Provider Business Practice Location Address Fax Number:
318-256-8136
Provider Enumeration Date:
02/06/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  AP09786 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2479521 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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