Organization
APEX PREVENTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIRDRE DETRAZ ANPC (CEO/NURSE PRACTITIONER)
(337) 739-7278
Entity
Organization
Contact information
Practice address
207 N LUKE ST, LAFAYETTE, LA 70506-1987
(337) 739-7278
(337) 419-0533
Mailing address
PO BOX 81095, LAFAYETTE, LA 70598-1095
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APO 4805
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031224
—
LA
Enumeration date
10/26/2012
Last updated
02/07/2024
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