Individual
MR. DUSTIN PHILIP DENICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
2614 JEFFERSON HWY, NEW ORLEANS, LA 70121-3828
(504) 314-4242
(504) 314-4295
Mailing address
1264 AVENUE DU CHATEAU, COVINGTON, LA 70433-6423
(504) 914-7889
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206233
LA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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