Individual
SHANTELL NICOLE DUGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3103 E SIMCOE ST, LAFAYETTE, LA 70501-6534
(337) 255-3124
Mailing address
3103 E SIMCOE ST, LAFAYETTE, LA 70501-6534
(337) 255-3124
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224318
LA
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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