Dahlen, Mary

Dahlen, Mary is an individual health care provider with primary practice located at 1000 Walters St , Lake Charles LA 70607-4647. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dahlen, Mary can be contacted via phone (337) 475-8100.

Contact Information

Primary practice address
1000 Walters St Lake Charles LA 70607-4647
Phone: (337) 475-8100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 081161 Louisiana

Profile Details

NPI number 1235358003
LBN Legal business name Dahlen, Mary
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Dec 27th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235358003 NPPES
Louisiana MEDICAID 1022799

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