Individual
MS. DIANA COUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7968 ESSEN PARK, BATON ROUGE, LA 70809-7439
(225) 761-6700
(225) 761-6760
Mailing address
12623 E GLENHAVEN DR, BATON ROUGE, LA 70815-6602
(225) 761-6700
(225) 761-6760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
LA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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