Provider Demographics
NPI:1568647030
Name:KASPER, DONNA W (ANP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:W
Last Name:KASPER
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1926 S UNION ST
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-5725
Mailing Address - Country:US
Mailing Address - Phone:337-594-2025
Mailing Address - Fax:337-594-2026
Practice Address - Street 1:1926 S UNION ST
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-5725
Practice Address - Country:US
Practice Address - Phone:337-594-2025
Practice Address - Fax:337-594-2026
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1730363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health