Individual
MRS. DAMETRA DANIELLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1050 N ROBINSON ST, MANY, LA 71449-3536
(318) 256-8150
(318) 256-8136
Mailing address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
(337) 376-6860
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09786
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2479521
—
LA
Enumeration date
02/06/2018
Last updated
10/22/2019
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