Doctor Name: | DARLENE VIOLA |
NPI Number: | 1013279264 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN057663 |
Business Practice Address: | 15481 W Club Deluxe Rd Hammond, LA - 704031466 |
Business Phone Number: | 9855434165 |
Business Fax Number: | 9855434037 |
Mailing Address: | Po Box 1315, INDEPENDENCE |
State: | LA |
Postal Code: | 704431315 |
Phone Number: | 9855434165 |
Fax Number: | 9855434037 |
NPI Enumeration Date: | 06/13/2012 |
NPI Last Update Date: | 06/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN057663 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |