person
Dorotha W Kubricht, NP
Adult Psychiatric/Mental Health Clinical Nurse Specialist in Clinton, Louisiana
NPI 1255331468

Dorotha W Kubricht is an Adult Psychiatric/Mental Health Clinical Nurse Specialist based in Clinton, LA and is specialized in Psychiatric/Mental Health, Adult. Dorotha W Kubricht practices in Clinton, LA and has the professional credentials of NP. The NPI Number for Dorotha W Kubricht is 1255331468 and holds a License No. AP01080 (Louisiana).

The current practice location address for Dorotha W Kubricht is 11990 Jackson St, Clinton, LA and can be reached out via phone at 225-683-5292 and via fax at 225-683-3411. You can also correspond with Dorotha W Kubricht through the mailing address at PO BOX 395, CLINTON, LA - 70722-0395 (mailing address contact number: 225-683-5292).

Location: 11990 Jackson St, Clinton, LA, 70722-0395
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Provider Profile Details
NPI Number
1255331468
Provider Name
Dorotha W Kubricht
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
11990 Jackson St, Clinton, LA, 70722-0395
Phone Number
225-683-5292
Fax Number
225-683-3411
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1559270 05 LA
institution
Provider Business Practice Location Address Details
Address
11990 Jackson St
City
State
Zip
70722-3210
Phone Number
225-683-5292
Fax Number
225-683-3411
person
Provider Business Mailing Address Details
Address
11990 Jackson St
City
State
Zip
70722-3210
Phone Number
225-683-5292
Fax Number
225-683-3411
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP01080 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
AP01080 (Louisiana)
Definition
Definition to come...
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