Individual
HEATHER NICOLE DESHAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4000
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-4541
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
236897
LA
Other
Enumeration date
07/27/2024
Last updated
12/31/2024
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