Doctor Name: | MRS. PATRICIA GARNER DALFERES |
NPI Number: | 1003869942 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | RN083034-AP02346 |
Business Practice Address: | 1402s Magnolia St A Hammond, LA - 704035020 |
Business Phone Number: | 9852474567 |
Business Fax Number: | 9852697091 |
Mailing Address: | 1402 South Magnolia Street, Suite A HAMMOND |
State: | LA |
Postal Code: | 70403 |
Phone Number: | 9852474567 |
Fax Number: | 9852697091 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 09/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN083034-AP02346 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |