Organization · Type 2 NPI

Acadiana Practitioners LLC

Rural Health Clinic/Center · Sunset, LA

NPI number 1497372957 Active

Practice location

166 Oak Tree Park Dr Ste B
Sunset, LA 70584-6135

Call (337) 510-5010 Map

Fax (337) 585-2674

Mailing address

414 Saizan Avenue
Port Barre, LA 70577-5156

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed
Nurse Practitioner	363L00000X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1497372957
Entity type: Organization (Type 2)
Issued: Jul 1, 2020
Last updated: Sep 3, 2021
Status: Active
Subpart: Yes of Acadiana Practitioners LLC

Other names

<unavail>
Acadiana Practitioners Sunset · doing business as
Acadiana Practitioners Sunset · doing business as

Authorized official

Dustin Joseph Miller
President
(337) 942-5899

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497372957

Acadiana Practitioners LLC's National Provider Identifier is 1497372957, issued on Jul 1, 2020. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Sunset, LA. The record was last updated on Sep 3, 2021.