Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN068587 | LA |
NPI | 1013156595 |
---|---|
Provider Name | Dionne M Stein |
First Address | Covington, LA 70434-3370 |
Second Address | Covington, LA 70433-5158 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2009 |
Last Update Date | 16/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1547581 | (05) | LA |