OrganizationActive
Advantage Health Urgent Care LLC
NPI 1194435107 · Acute Care Nurse Practitioner · Deridder, LA
Provider details
- NPI number
- 1194435107
- Entity type
- Organization
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Heather Daniels, Nurse Practitioner/Business Owner(337) 396-3833
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
906 N Pine St
Deridder, LA 70634-2816
Phone: (337) 396-3833
Approximate (ZIP-level) locationGet directions
Mailing address
906 N Pine St
Deridder, LA 70634-2816
Registry dates
- Enumerated
- 2022-11-30
- Last updated
- 2022-12-27
- Certified
- 2022-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.