IndividualActive
Dustin Denicola, N.P.
NPI 1073879508 · Adult Health Nurse Practitioner · Baton Rouge, LA
Provider details
- NPI number
- 1073879508
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Male
- Sole proprietor
- No
- License
- RN117110-AP06574 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4950 Essen Ln
Suite 300
Baton Rouge, LA 70809-3738
Phone: (225) 490-8882
Fax: (225) 765-9085
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 84460
Baton Rouge, LA 70884-4460
Registry dates
- Enumerated
- 2012-04-10
- Last updated
- 2017-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.