Individual
MRS. DEIRDRE KIVETT SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
430 S VINE ST, BASTROP, LA 71220-4514
(318) 283-3970
Mailing address
PO BOX 293, BASTROP, LA 71221-0293
(318) 283-3623
(318) 239-8623
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07410
LA
Other
Enumeration date
07/08/2013
Last updated
07/15/2024
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