NPI 1144864497

Krista Dooley Dazzo, PA

Practitioner Physician Assistant Covington, LA

Practice location

Address: 1202 S Tyler St, Covington, LA 70433-2330
Phone: (985) 898-4438
Mailing address: 5000 Ambassador Caffery Pkwy STE a, Lafayette, LA 70508-6984

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 320127 (LA)

Other Physician Assistant providers in Louisiana →

Registry record

NPI: 1144864497
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Oct 2019
Record last updated: 30 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.