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Mr. Dale Michael Sanderson, NP
Neonatal Nurse Practitioner in Baton Rouge, Louisiana
NPI 1659643054

Dale Michael Sanderson is a Neonatal Nurse Practitioner based in Baton Rouge, LA and is specialized in Neonatal. Dale Michael Sanderson practices in Baton Rouge, LA and has the professional credentials of NP. The NPI Number for Dale Michael Sanderson is 1659643054 and holds a License No. TAP002754 (Louisiana).

The current practice location address for Dale Michael Sanderson is 8300 Constantin Blvd, Baton Rouge, LA and can be reached out via phone at 225-374-4325. You can also correspond with Dale Michael Sanderson through the mailing address at 5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA - 70816-6038 (mailing address contact number: 225-765-5727).

Location: 8300 Constantin Blvd, Baton Rouge, LA, 70816-6038
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Provider Profile Details
NPI Number
1659643054
Provider Name
Dale Michael Sanderson
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
8300 Constantin Blvd, Baton Rouge, LA, 70816-6038
Phone Number
225-374-4325
Fax Number
Provider Enumeration Date
01/31/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 01 LA BCBS LA
2190598 05 LA
institution
Provider Business Practice Location Address Details
Address
8300 Constantin Blvd
City
State
Zip
70809-3489
Phone Number
225-374-4325
Fax Number
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Provider Business Mailing Address Details
Address
5959 S Sherwood Forest Blvd
City
State
Zip
70816-6038
Phone Number
225-765-5727
Fax Number
225-765-4278
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
TAP002754 (Louisiana)
Definition
Definition to come...
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