Individual
ANISSA M DISNUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
4200 NELSON RD, LAKE CHARLES, LA 70605-4118
(337) 474-6370
Mailing address
4200 NELSON RD, LAKE CHARLES, LA 70605-4118
(337) 474-6370
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
240295
LA
Other
Enumeration date
05/07/2025
Last updated
05/15/2025
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