Provider Demographics
NPI:1295195253
Name:TEMPLET, TRICIA ANN (DNP)
Entity Type:Individual
Prefix:DR
First Name:TRICIA
Middle Name:ANN
Last Name:TEMPLET
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:DR
Other - First Name:TRICIA
Other - Middle Name:ESPOSITO
Other - Last Name:TEMPLET
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP
Mailing Address - Street 1:207 HALCOTT DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-4621
Mailing Address - Country:US
Mailing Address - Phone:337-356-5559
Mailing Address - Fax:
Practice Address - Street 1:4600 AMBASSADOR CAFFERY PKWY
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6902
Practice Address - Country:US
Practice Address - Phone:337-521-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-02
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95002841363L00000X
LAAP08895363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner