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Organization
ACADIANA PRACTITIONERS LLC
Active
Organization
ACADIANA PRACTITIONERS LLC
Active
Other names
Acadiana Practitioners Opelousas
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN JOSEPH MILLER NP (PRESIDENT)
(337) 447-4027
Entity
Organization
Contact information
Practice address
1119 PRUDHOMME CIR STE F, OPELOUSAS, LA 70570-6516
(337) 942-5899
(337) 942-5978
Mailing address
414 SAIZAN AVENUE, PORT BARRE, LA 70577
(337) 447-4027
(337) 585-2674
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/08/2018
Last updated
03/02/2020
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