Individual provider · Type 1 NPI
Angela Potter Dison, NP
Nurse Practitioner · Minden, LA
Practice location
1 Medical Plaza Pl
Minden, LA 71055-3330
Fax (318) 371-5606
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 206722 (LA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1972156040
Angela Potter Dison, NP's National Provider Identifier is 1972156040, issued on Jul 18, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minden, LA. The record was last updated on Oct 4, 2019.