Doctor Name: | MRS. ANGELA FULLER DOIRON |
NPI Number: | 1073511960 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F0802214 |
Business Practice Address: | 1302 Lakewood Dr. Plaza 2 Suite 200 Morgan City, LA - 70380 |
Business Phone Number: | 9857021220 |
Business Fax Number: | 9857029715 |
Mailing Address: | 1302 Lakewood Dr., Plaza 2, Suite 200 MORGAN CITY |
State: | LA |
Postal Code: | 703803112 |
Phone Number: | 9857021220 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2005 |
NPI Last Update Date: | 02/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F0802214 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |