Individual provider · Type 1 NPI

Candice Coco Desselle, APRN

Acute Care Nurse Practitioner · Alexandria, LA

NPI number 1265970719 Active

Practice location

3330 Masonic Dr
Alexandria, LA 71301-3841

Mailing address

919 Hidden Rdg
Irving, TX 75038-3813

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN127478 (LA)
Acute Care Nurse Practitioner Primary 363LA2100XAP09177 (LA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1265970719

Candice Coco Desselle, APRN's National Provider Identifier is 1265970719, issued on Feb 5, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Alexandria, LA. The record was last updated on Mar 6, 2017.