Individual provider · Type 1 NPI

Kristy Leigh Dibble, NP

Pediatric Nurse Practitioner · Baton Rouge, LA

NPI number 1457716151 Active

Practice location

4560 North Blvd, Suite 108
Baton Rouge, LA 70806-4043

Fax (225) 341-5903

Mailing address

4550 North Blvd, Suite 250
Baton Rouge, LA 70806-4013

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAP05714 (LA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1457716151

Kristy Leigh Dibble, NP's National Provider Identifier is 1457716151, issued on Dec 22, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Baton Rouge, LA. The record was last updated on Mar 30, 2016.