Individual
SUSETTE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1416 GOBBLER HEAD DR, BOGALUSA, LA 70427-6091
(985) 730-6970
(985) 735-8883
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(985) 730-6970
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224267
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224267
STATE LICENSE
LA
Enumeration date
02/10/2022
Last updated
07/28/2022
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