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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY VIRGINIA DISANTE, RN

Active Sole Proprietor

MARY VIRGINIA DISANTE, RN is a Advance Practice Midwife healthcare provider located in LAKE CHARLES, Louisiana. NPI 1548732332 is currently active in the NPPES registry. Verify at CMS.

Advance Practice Midwife · LAKE CHARLES, LA

Registration Details

NPI Number
1548732332
Provider Type
Individual
Gender
Female
NPI Issued
Dec 18, 2018 (7.6929602636057 yrs)
Last Updated
Dec 18, 2018
License
RN056471 (LA)
Sole Proprietor
Yes

Practice Information

Address
524 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA, 706015725
Browse LA providers · Browse ZIP 70601
Phone
3374917700
Primary Specialty
Advance Practice Midwife
163WA2000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.