Darty, Rosaline Michelle

Darty, Rosaline Michelle is an individual health care provider with primary practice located at 1625 David Raines Rd , Shreveport LA 71107-5899. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Darty, Rosaline Michelle can be contacted via phone (318) 425-2252.

Contact Information

Primary practice address
1625 David Raines Rd Shreveport LA 71107-5899
Phone: (318) 425-2252
Fax: (318) 425-2367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X AP04803 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN088507-AP04803 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP04803 Louisiana

Profile Details

NPI number 1164430526
LBN Legal business name Darty, Rosaline Michelle
Credentials AP NP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 19th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164430526 NPPES
Louisiana MEDICAID 1714429

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