Organization
DPDNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN PHILIP DENICOLA NP (MEMBER)
(504) 914-7889
Entity
Organization
Contact information
Practice address
1264 AVENUE DU CHATEAU, COVINGTON, LA 70433-6423
(504) 914-7889
Mailing address
1264 AVENUE DU CHATEAU, COVINGTON, LA 70433-6423
(504) 914-7889
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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