Provider Demographics
NPI:1780735795
Name:BATTS, DANA D (FNP)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:D
Last Name:BATTS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:DANA
Other - Middle Name:DEVILLE
Other - Last Name:ARDOIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:407 EAST LINCOLN ROAD
Mailing Address - Street 2:PO BOX 160
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586
Mailing Address - Country:US
Mailing Address - Phone:337-363-3180
Mailing Address - Fax:337-363-3182
Practice Address - Street 1:407 EAST LINCOLN ROAD
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586
Practice Address - Country:US
Practice Address - Phone:337-363-3180
Practice Address - Fax:337-363-3182
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP04544363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
12335140OtherCAQH
LAAP04544OtherSTATE LICENSE
LA1479390Medicaid
LA3D163DX82Medicare PIN