Individual
STACY RICARD DARDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 OCHSNER BLVD, COVINGTON, LA 70433-8107
(985) 875-7007
(985) 875-2730
Mailing address
1000 OCHSNER BLVD, COVINGTON, LA 70433-8107
(985) 875-7007
(985) 875-2730
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06083
LA
363LF0000X
Family Nurse Practitioner
RN107656
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07806213
—
MS
05
—
2175513
—
LA
Enumeration date
10/20/2011
Last updated
12/17/2012
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