Provider Demographics
NPI:1780088526
Name:DRONETTE, BRYANT F (PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:BRYANT
Middle Name:F
Last Name:DRONETTE
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:MR
Other - First Name:BRYANT
Other - Middle Name:F
Other - Last Name:DRONETTE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:142 HUNDRED OAKS DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70592-5481
Mailing Address - Country:US
Mailing Address - Phone:337-298-2773
Mailing Address - Fax:
Practice Address - Street 1:102 ASMA BOULEVARD, BLDG #3
Practice Address - Street 2:SUITE 112
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508
Practice Address - Country:US
Practice Address - Phone:337-504-2332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-21
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08061363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAAP08061OtherADVANCED PRACTICE NURSE
LA101027OtherREGISTERED NURSE
LA2381679Medicaid