Provider Demographics
NPI:1780208470
Name:BEENE, DAPHNE (FNP)
Entity Type:Individual
Prefix:
First Name:DAPHNE
Middle Name:
Last Name:BEENE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 HIGHWAY 80 E
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-9366
Mailing Address - Country:US
Mailing Address - Phone:318-600-3333
Mailing Address - Fax:318-600-3334
Practice Address - Street 1:2321 HIGHWAY 80 E
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-9366
Practice Address - Country:US
Practice Address - Phone:318-600-3333
Practice Address - Fax:318-600-3334
Is Sole Proprietor?:No
Enumeration Date:2020-05-29
Last Update Date:2023-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA213827363LF0000X
LARN082769163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse