Individual provider · Type 1 NPI

Dustin David Denicola, N.P.

Adult Health Nurse Practitioner · Baton Rouge, LA

NPI number 1073879508 Active

Practice location

4950 Essen Ln, Suite 300
Baton Rouge, LA 70809-3738

Fax (225) 765-9085

Mailing address

PO Box 84460
Baton Rouge, LA 70884-4460

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XRN117110-AP06574 (LA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1073879508

Dustin David Denicola, N.P.'s National Provider Identifier is 1073879508, issued on Apr 10, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Baton Rouge, LA. The record was last updated on Mar 23, 2017.