Individual
WILLIAM DUREAU DART JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
5439 AIRLINE HWY, BATON ROUGE, LA 70805-1712
(225) 765-7163
(225) 765-7164
Mailing address
2051 SILVERSIDE DR, SUITE 260, BATON ROUGE, LA 70808-9005
(225) 490-6309
(225) 765-9291
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP05303
LA
363LF0000X
Family Nurse Practitioner
AP05303
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035955
—
LA
01
—
P00736280
RAILROAD THRU PEPA
LA
Enumeration date
10/26/2007
Last updated
03/25/2021
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