Debra Vidrine is a Family in Pine Prairie, Louisiana. Debra Vidrine practices all healthcare services and medical treatments related to Family. The NPI Number for Debra Vidrine is 1265506984. The last update date is 2009-10-06.
Debra Vidrine's current location address is 1015 Sanders, Pine Prairie, Louisiana. You can contact this provider via phone number 3375992212 and fax number 3375460071. The mailing address for Debra Vidrine is 1015 Sanders, Pine Prairie, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Vidrine |
|---|---|
| Address | 1015 Sanders, Pine Prairie, Louisiana |
| Phone Number | 3375992212 |
| Fax Number | 3375460071 |
| Sole Proprietor | N |
| Credentials | APRN |
NPI Number Detail
| NPI Number | 1265506984 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2009-10-06 |
Provider Mailing Address Detail
| Address | 1015 Sanders |
|---|---|
| City | Pine Prairie |
| State | Louisiana (LA) |
| Post Code | 705763611 |
| Phone Number | 3375992212 |
| Fax Number | 3375460071 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN039129 APO |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1477532 | LA | -- |
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What is the unique 10-digit identification code assigned to Debra Vidrine by the Centers for Medicare & Medicaid Services?
The Debra Vidrine has been issued the NPI (National Provider Identifier) 1265506984, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Debra Vidrine's physical address?
The Debra Vidrine is physically located at 1015 Sanders, in the city of Pine Prairie, LA, with the postal code 705763611.
What is Debra Vidrine's specialized field of practice, and what is the corresponding taxonomy classification code?
The Debra Vidrine's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Debra Vidrine receive its 1265506984 assignment from the Centers for Medicare & Medicaid Services?
The Debra Vidrine was assigned its 1265506984 by the Centers for Medicare & Medicaid Services on 2006-11-17.
As of what date were the details pertaining to Debra Vidrine last refreshed?
The information related to the Debra Vidrine, including its address, specialty, and other relevant details, was last updated on 2009-10-06.
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