Individual
MRS. DEANNA ALELLO DARDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 646-5189
Mailing address
2023 OLD RIVER RD, SLIDELL, LA 70461-3135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08013
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08931754
—
MS
05
—
2378236
—
LA
Enumeration date
08/21/2014
Last updated
12/19/2014
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