Sophia Ann Dupre, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Basile, LA
NPI 1881455475 · NPPES record last updated Feb 18, 2024
Key facts
- NPI
- 1881455475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 234267 (LA)
- Practice address
- 3843 Stagg Ave
Basile, LA 70515-5501 - Phone
- (337) 668-5900
- NPI assigned
- Jan 19, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234267 | LA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 234267 | LA | Yes |
Addresses
Primary practice location
3843 Stagg Ave
Basile, LA 70515-5501
Mailing address
3843 Stagg Ave
Basile, LA 70515-5501
Phone (318) 668-5927
Other providers in Basile, LA
- Basile Family Pharmacy LLC
- Jevin Marc Bordelon
- Ronald Joseph Broussard
- Shanna M Chaumont
- CLHG-Acadian LLC
- Evangeline Home Health Agency Inc
- Evangeline Home Health LLC
- Richlynn Ledoux Fruge
- Jo Ann Gay
- Alanna Denise Hebert
All providers in Basile, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.