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
Fax: (225) 368-2280
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982607420 NPPES
Louisiana MEDICAID 1158691

Popular Providers