Individual
DEANNA THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 BROADWAY ST, DELHI, LA 71232-3002
(318) 878-3737
(318) 878-9682
Mailing address
508 BROADWAY ST, DELHI, LA 71232-3002
(318) 878-3737
(318) 878-9682
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07992
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2378473
—
LA
Enumeration date
08/26/2014
Last updated
06/16/2015
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