| Doctor Name: | DARCI PORTIE |
| NPI Number: | 1033592886 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | AP08424 |
| Business Practice Address: | 601 Dr Michael Debakey Dr Lake Charles, LA - 706015726 |
| Business Phone Number: | 3374361370 |
| Business Fax Number: | 3374361621 |
| Mailing Address: | 501 Dr Michael Debakey Dr, LAKE CHARLES |
| State: | LA |
| Postal Code: | 706015724 |
| Phone Number: | 3373128360 |
| Fax Number: | 3373126708 |
| NPI Enumeration Date: | 06/29/2015 |
| NPI Last Update Date: | 09/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP08424 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |