Individual
MISTY DALME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
740 KEYSER AVE STE E, NATCHITOCHES, LA 71457-6083
(318) 238-5300
(318) 214-4493
Mailing address
PO BOX 2009, NATCHITOCHES, LA 71457-2009
(318) 214-4401
(318) 214-4493
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP09686
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP09686
APRN LICENSE
LA
Enumeration date
01/26/2018
Last updated
03/17/2018
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