Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP09646 | LA |
NPI | 1003329871 |
---|---|
Provider Name | Darlinda Theresa Dove |
First Address | Natchitoches, LA 71457-2475 |
Second Address | Natchitoches, LA 71457-6020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2017 |
Last Update Date | 15/07/2020 |