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Individual

MS. ANNE L DILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN-BC

Contact information

Practice address
6410 MASONIC DR, ALEXANDRIA, LA 71301-2319
(318) 473-0035
Mailing address
117 CLARK CT, CROWLEY, LA 70526-2225

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN071794
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP08722
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP08722
APRN LICENSE
LA
01
RN071794
REGISTERED NURSE
LA
Enumeration date
10/27/2015
Last updated
03/13/2016
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