APEX PREVENTION LLC NPI 1588917603

NPI Information

NPI: 1588917603
Provider Name: APEX PREVENTION, LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
207 N LUKE ST
LAFAYETTE, LA
ZIP 70506
Phone: (337) 739-7278
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APEX PREVENTION, LLC is an adult health nurse practitioner in Lafayette, LA. APEX PREVENTION, LLC NPI is 1588917603. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

207 N LUKE ST
LAFAYETTE, LA
ZIP 70506-987
Phone: (337) 739-7278
Fax: (337) 419-0533

The provider's authorized official is Deirdre Detraz .
The authorized official title is Ceo/nurse Practitioner and has the following contact phone number (337) 739-7278.

The enumeration date for this NPI number is 10/26/2012 and was last updated on 2/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	APO 4805	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1031224	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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