Deirdre I Detraz (NPI# 1396761060, PAC ID# 2466459433) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1396761060 |
| PAC ID by PECOS | 2466459433 |
| Professional Enrollment ID | I20061106000009 |
| Full Name | Deirdre I Detraz |
| Address |
2801 Kaliste Saloom Rd Suite 200 Lafayette LA 70508-7181 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2801 Kaliste Saloom Rd, Suite 200, Lafayette, LA 70508-7181 |
| Street Address |
2801 KALISTE SALOOM RD SUITE 200 |
| City | LAFAYETTE |
| State | LA |
| Zip | 70508-7181 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason J Tiel | Chiropractic | 2801 Kaliste Saloom Rd, Suite 200, Lafayette, LA 70508-7181 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason W Prevost | Chiropractic | 2111 W Pinhook Rd A, Integrated Health, Lafayette, LA 70508-1504 | |
| Kimberly V Hull | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Roseanna Laporte | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Mia H Rabalais | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Simone L Babineaux | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Jayson A Thornhill | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Casey A Robinson | Clinical Social Worker | 200 La Rue France, Suite 101, Lafayette, LA 70508-3104 | |
| Rachel Lacy Broussard | Clinical Social Worker | 200 La Rue France, Lafayette, LA 70508-3104 | |
| Joshua G Bailey | Chiropractic | Pinhook Chiropractic Clinic LLC | 100 La Rue France, Lafayette, LA 70508-3112 |
| Brad A Grizzaffi | Chiropractic | Pinhook Chiropractic Clinic LLC | 100 La Rue France, Lafayette, LA 70508-3112 |
| Find all physicians in zip 70508 | |||
| City | LAFAYETTE |
| Zip Code | 70508 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAFAYETTE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Deirdre I Detraz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.