Individual
DONALYN M DEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
441 WALL BLVD, GRETNA, LA 70056-7723
(504) 371-6550
(504) 371-6555
Mailing address
441 WALL BLVD, GRETNA, LA 70056-7723
(504) 371-6550
(504) 371-6555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP2903
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01903009
—
MS
05
—
1532304
—
LA
Enumeration date
06/02/2006
Last updated
10/23/2014
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