Dewitt, Elidia Anne
Dewitt, Elidia Anne is an individual health care provider with primary practice located at 9118 Bluebonnet Centre Blvd , Baton Rouge LA 70809-2993. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dewitt, Elidia Anne can be contacted via phone (225) 368-2300.Contact Information
Primary practice address
9118 Bluebonnet Centre Blvd
Baton Rouge LA 70809-2993
Phone: (225) 368-2300
Fax: (225) 368-2280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP04211 | Louisiana |
Profile Details
| NPI number | 1982607420 |
|---|---|
| LBN Legal business name | Dewitt, Elidia Anne |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2005 |
| Last updated | Sep 28th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982607420 | NPPES |
| Louisiana | MEDICAID | 1158691 |
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