Provider Demographics
NPI:1538614235
Name:READ, DEANNA DARLENE (FNP)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:DARLENE
Last Name:READ
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 1:3649 S BEGLIS PKWY
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70665-8107
Mailing Address - Country:US
Mailing Address - Phone:337-626-1011
Mailing Address - Fax:
Practice Address - Street 1:200 HEYMANN BLVD STE 201
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2414
Practice Address - Country:US
Practice Address - Phone:504-688-5111
Practice Address - Fax:504-676-5252
Is Sole Proprietor?:No
Enumeration Date:2016-08-23
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08941363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner