Provider Demographics
NPI:1932122884
Name:DUGAS, ROBBIE C (C-FNP, C-ANP, DNS)
Entity Type:Individual
Prefix:MRS
First Name:ROBBIE
Middle Name:C
Last Name:DUGAS
Suffix:
Gender:F
Credentials:C-FNP, C-ANP, DNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 BROUSSARD ST
Mailing Address - Street 2:
Mailing Address - City:BREAUX BRIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70517-4301
Mailing Address - Country:US
Mailing Address - Phone:337-442-1300
Mailing Address - Fax:
Practice Address - Street 1:200 LA RUE FRANCE STE 201
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3104
Practice Address - Country:US
Practice Address - Phone:337-235-9355
Practice Address - Fax:337-235-9356
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP03044363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1690732Medicaid
LA1690732Medicaid