Individual
KRISTY LEIGH DIBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4560 NORTH BLVD, SUITE 108, BATON ROUGE, LA 70806-4043
(225) 928-0695
(225) 341-5903
Mailing address
4550 NORTH BLVD, SUITE 250, BATON ROUGE, LA 70806-4013
(225) 926-1269
(225) 927-7367
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP05714
LA
Other
Enumeration date
12/22/2015
Last updated
03/30/2016
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