Provider Demographics
NPI:1093433229
Name:DUGAS, ROSS MICHAEL (FNP-BC)
Entity type:Individual
Prefix:MR
First Name:ROSS
Middle Name:MICHAEL
Last Name:DUGAS
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 HACKER ST
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70560-4508
Mailing Address - Country:US
Mailing Address - Phone:337-330-2576
Mailing Address - Fax:337-321-6295
Practice Address - Street 1:2825 GRAND POINT HWY LOT 6
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:LA
Practice Address - Zip Code:70517-6972
Practice Address - Country:US
Practice Address - Phone:337-454-6238
Practice Address - Fax:337-408-1198
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA227028363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty