Individual
MR. DARRELL PAUL PRESTENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1990 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 868-9300
(985) 851-0053
Mailing address
1990 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 868-9300
(985) 851-0053
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06196
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2129121
—
LA
Enumeration date
07/07/2010
Last updated
02/25/2013
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