Individual
MS. ELIDIA ANNE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9118 BLUEBONNET CENTRE BLVD, BATON ROUGE, LA 70809-2993
(225) 368-2300
(225) 368-2280
Mailing address
PO BOX 62600 DEPT 1744, NEW ORLEANS, LA 70162-0001
(225) 368-2300
(225) 368-2280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04211
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1158691
—
LA
Enumeration date
05/28/2005
Last updated
09/28/2019
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