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Dale Tate Fnp Llc
Family Nurse Practitioner in Kentwood, Louisiana
NPI 1124360144

Dale Tate Fnp Llc is a Family Nurse Practitioner based in Kentwood, LA and is specialized in Family. Dale Tate Fnp Llc practices in Kentwood, LA. The NPI Number for Dale Tate Fnp Llc is 1124360144 and holds a License No. RN102323/AP06135 (Louisiana).

The current practice location address for Dale Tate Fnp Llc is 75136 N River Rd, Kentwood, LA and can be reached out via phone at 985-229-4114.

Location: 75136 N River Rd, Kentwood, LA, 70444-3800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124360144
Provider Name
Dale Tate Fnp Llc
Credential
Provider Entity Type
Organization
Address
75136 N River Rd, Kentwood, LA, 70444-3800
Phone Number
985-229-4114
Fax Number
Provider Enumeration Date
03/18/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2115014 05 LA
institution
Provider Business Practice Location Address Details
Address
75136 N River Rd
City
Kentwood
State
Louisiana
Zip
70444-3800
Phone Number
985-229-4114
Fax Number
person
Provider Business Mailing Address Details
Address
75136 N River Rd
City
Kentwood
State
Louisiana
Zip
70444-3800
Phone Number
985-229-4114
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN102323/AP06135 (Louisiana)
Definition
Definition to come...
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