Provider Demographics
NPI:1144070327
Name:DUFRENE, DANIELLE R (FNP)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:R
Last Name:DUFRENE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 LAC VERRET DR
Mailing Address - Street 2:
Mailing Address - City:LULING
Mailing Address - State:LA
Mailing Address - Zip Code:70070-7211
Mailing Address - Country:US
Mailing Address - Phone:985-278-1717
Mailing Address - Fax:
Practice Address - Street 1:602 LAC VERRET DR
Practice Address - Street 2:
Practice Address - City:LULING
Practice Address - State:LA
Practice Address - Zip Code:70070-7211
Practice Address - Country:US
Practice Address - Phone:985-278-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA234770363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily