Individual provider · Type 1 NPI

Christina Dedeaux

Licensed Practical Nurse · Baton Rouge, LA

NPI number 1962077503 Active

Practice location

711 Colonial Dr Ste 6
Baton Rouge, LA 70806-6549

Mailing address

3964 Gourrier Ave Apt 319
Baton Rouge, LA 70808-4488

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X20150816 (LA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1962077503

Christina Dedeaux's National Provider Identifier is 1962077503, issued on May 25, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Baton Rouge, LA. The record was last updated on May 25, 2021.