Dauphiney, Africa Black

Dauphiney, Africa Black is an individual health care provider with primary practice located at 3400 Moss St Ste B , Lafayette LA 70507-6114. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Dauphiney, Africa Black can be contacted via phone (337) 454-3352.

Contact Information

Primary practice address
3400 Moss St Ste B Lafayette LA 70507-6114
Phone: (337) 454-3352
Fax: (337) 454-3359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN120812 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN120812-AP06643 Louisiana

Profile Details

NPI number 1588944383
LBN Legal business name Dauphiney, Africa Black
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2011
Last updated Oct 5th, 2020 - about 5 years 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 1588944383 NPPES
Louisiana Other 3D060CA15 MEDICARE GROUP MEMBER PTAN
Louisiana MEDICAID 2181254 MEDICARE GROUP MEMBER PTAN

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