Organization
DANIELLE J THREATTS APRN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE J THREATTS APRN (OWNER)
(337) 458-1147
Entity
Organization
Contact information
Practice address
208 W GLORIA SWITCH RD STE 219, LAFAYETTE, LA 70507-3409
(337) 520-2431
Mailing address
405 N PARKERSON ST, RAYNE, LA 70578-6544
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/01/2020
Last updated
02/01/2020
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