Individual
MS. ROSALINE MICHELLE DARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AP NP
Contact information
Practice address
1625 DAVID RAINES RD, SHREVEPORT, LA 71107-5899
(318) 425-2252
(318) 425-2367
Mailing address
2508 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3133
(318) 212-5880
(318) 212-5885
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
AP04803
LA
363LP0200X
Pediatric Nurse Practitioner
RN088507-AP04803
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP04803
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1714429
—
LA
Enumeration date
08/03/2006
Last updated
03/19/2024
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