Individual
MATTHEW DORNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5131 ODONOVAN DR FL 1, BATON ROUGE, LA 70808-4782
(225) 767-4893
(225) 767-5494
Mailing address
PO BOX 83130, BATON ROUGE, LA 70884-3130
(225) 767-4893
(225) 767-5494
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP05143
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017396
—
LA
Enumeration date
05/10/2007
Last updated
01/07/2021
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