Individual
CAROL DARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1314 S JAHNCKE AVE, COVINGTON, LA 70433-3913
(985) 789-1089
Mailing address
1104 S LOUISIANA ST, COVINGTON, LA 70433-3947
(985) 789-1089
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN080255
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP01245
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1651591
—
LA
Enumeration date
10/19/2006
Last updated
11/20/2018
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