Individual
MS. DEBRA VIDRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1015 SANDERS, PINE PRAIRIE, LA 70576-3611
(337) 599-2212
(337) 546-0071
Mailing address
PO BOX 65205, BATON ROUGE, LA 70896-5205
(337) 546-0101
(337) 546-0071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN039129 APO4342
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477532
—
LA
Enumeration date
11/17/2006
Last updated
10/06/2009
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