Individual provider · Type 1 NPI

Heather Nicole Deshazo, ACNPC-AG

Acute Care Nurse Practitioner · Monroe, LA

NPI number 1629807854 Active

Practice location

309 Jackson St
Monroe, LA 71201-7407

Call (318) 966-4000 Map

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	236897 (LA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1629807854

Heather Nicole Deshazo, ACNPC-AG's National Provider Identifier is 1629807854, issued on Jul 27, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Monroe, LA. The record was last updated on Dec 31, 2024.