Individual
DONOVAN MATHERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
9118 BLUEBONNET CENTRE BLVD, BATON ROUGE, LA 70809-2993
(225) 368-2300
(225) 368-2280
Mailing address
9118 BLUEBONNET CENTRE BLVD, BATON ROUGE, LA 70809-2993
(225) 368-2300
(225) 368-2280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN102959-AP06111
LA
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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