Stacey Smith Perrault in Baton Rouge - Family
Stacey Smith Perrault - NPI 1710961677
Stacey Smith Perrault is a Family in Baton Rouge, Louisiana. Stacey Smith Perrault practices all healthcare services and medical treatments related to Family. The NPI Number for Stacey Smith Perrault is 1710961677. The last update date is 2007-12-03.
Stacey Smith Perrault's current location address is 5339 Didesse Dr, Baton Rouge, Louisiana. You can contact this provider via phone number 2257653076 and fax number 2257653090. The mailing address for Stacey Smith Perrault is 5339 Didesse Dr, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Smith Perrault |
|---|---|
| Address | 5339 Didesse Dr, Baton Rouge, Louisiana |
| Phone Number | 2257653076 |
| Fax Number | 2257653090 |
| Sole Proprietor | N |
| Credentials | N.P. |
NPI Number Detail
| NPI Number | 1710961677 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2007-12-03 |
Provider Mailing Address Detail
| Address | 5339 Didesse Dr |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708084306 |
| Phone Number | 2257653076 |
| Fax Number | 2257653090 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP04588 |
|
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 |
|---|---|---|---|
| 1478831 | LA | -- | |
| P00251944 | LA | RAILROAD MEDICARE |
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What is the Stacey Smith Perrault's 1710961677?
The Stacey Smith Perrault's NPI (National Provider Identifier) Number is 1710961677. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stacey Smith Perrault located?
The Stacey Smith Perrault is located at 5339 Didesse Dr, Baton Rouge, LA 708084306.
What is the Stacey Smith Perrault's specialty and taxonomy code?
The Stacey Smith Perrault's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date did the Stacey Smith Perrault receive its 1710961677 assignment from the Centers for Medicare & Medicaid Services?
The Stacey Smith Perrault was assigned its 1710961677 by the Centers for Medicare & Medicaid Services on 2005-12-05.
As of what date were the details pertaining to Stacey Smith Perrault last refreshed?
The information related to the Stacey Smith Perrault, including its address, specialty, and other relevant details, was last updated on 2007-12-03.