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Organization
ACADIANA PRACTITIONERS LLC
Active
Organization
ACADIANA PRACTITIONERS LLC
Active
Parent organization
ACADIANA PRACTITIONERS LLC
Other names
Acadiana Practitioners Sunset
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACADIANA PRACTITIONERS LLC
Authorized official
DUSTIN JOSEPH MILLER (PRESIDENT)
(337) 942-5899
Entity
Organization
Contact information
Practice address
166 OAK TREE PARK DR STE B, SUNSET, LA 70584-6135
(337) 510-5010
(337) 585-2674
Mailing address
414 SAIZAN AVENUE, PORT BARRE, LA 70577-5156
(337) 447-4027
(337) 585-2674
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/01/2020
Last updated
09/03/2021
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