person
Mr. Mark Declouet, NP
Psychiatric/Mental Health Nurse Practitioner in Lafayette, Louisiana
NPI 1386925683

Mark Declouet is a Psychiatric/Mental Health Nurse Practitioner based in Lafayette, LA and is specialized in Psychiatric/Mental Health. Mark Declouet practices in Lafayette, LA and has the professional credentials of NP. The NPI Number for Mark Declouet is 1386925683 and holds a License No. AP08202 (Louisiana).

The current practice location address for Mark Declouet is 315 Audubon Blvd, Lafayette, LA and can be reached out via phone at 337-522-7573 and via fax at 337-210-3058. You can also correspond with Mark Declouet through the mailing address at PO BOX 53709, LAFAYETTE, LA - 70505-3709 (mailing address contact number: 877-294-7247).

Location: 315 Audubon Blvd, Lafayette, LA, 70505-3709
person
Provider Profile Details
NPI Number
1386925683
Provider Name
Mark Declouet
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
315 Audubon Blvd, Lafayette, LA, 70505-3709
Phone Number
337-522-7573
Fax Number
337-210-3058
Provider Enumeration Date
08/31/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2386158 05 LA
institution
Provider Business Practice Location Address Details
Address
315 Audubon Blvd
City
State
Zip
70503-2610
Phone Number
337-522-7573
Fax Number
337-210-3058
person
Provider Business Mailing Address Details
Address
315 Audubon Blvd
City
State
Zip
70503-2610
Phone Number
337-522-7573
Fax Number
337-210-3058
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP08202 (Louisiana)
Definition
Definition to come...
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