Provider Demographics
NPI:1396299475
Name:DUPLICHAN, TERRI (RN)
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:DUPLICHAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 HIDDEN ACRES DR
Mailing Address - Street 2:APT. C
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-6170
Mailing Address - Country:US
Mailing Address - Phone:337-249-1356
Mailing Address - Fax:
Practice Address - Street 1:110 HIDDEN ACRES DR
Practice Address - Street 2:APT. C
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-6170
Practice Address - Country:US
Practice Address - Phone:337-249-1356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-07
Last Update Date:2016-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN117433163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse