# DANIELLE J THREATTS APRN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114558715
- **Authorized official:** DANIELLE J THREATTS APRN (OWNER)
- **Authorized official phone:** (337) 458-1147

## Contact information

- **Practice address:** 208 W GLORIA SWITCH RD STE 219, LAFAYETTE, LA 70507-3409
- **Practice address phone:** (337) 520-2431
- **Mailing address:** 405 N PARKERSON ST, RAYNE, LA 70578-6544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2020
- **Last updated:** 02/01/2020