1437275997 NPI number — SUSAN L DUHON RN,CNP

Table of content: SUSAN L DUHON RN,CNP (NPI 1437275997)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437275997 NPI number — SUSAN L DUHON RN,CNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DUHON
Provider First Name:
SUSAN
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RN,CNP
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:
1437275997
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/09/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
484 S POST OAK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SULPHUR
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70663-3628
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-625-0035
Provider Business Mailing Address Fax Number:
337-625-0036

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
914 S POST OAK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SULPHUR
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70663-5246
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-625-0035
Provider Business Practice Location Address Fax Number:
337-625-0035
Provider Enumeration Date:
03/22/2007

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: 363LP0200X , with the licence number:  32965-1991 , 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: 1955981 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 721473629001 . This is a "CHAMPUS PROVIDER #" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com