Provider Demographics
NPI:1619587318
Name:DUGAS, RACHEL DAWN (RN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:DAWN
Last Name:DUGAS
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 1:2700 WHITNEY PL APT 734
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-6243
Mailing Address - Country:US
Mailing Address - Phone:318-792-3995
Mailing Address - Fax:
Practice Address - Street 1:2700 WHITNEY PL APT 734
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-6243
Practice Address - Country:US
Practice Address - Phone:318-792-3995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-06
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA230558367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered