Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Deirdre Irene Detraz, ANPC

Individual provider Adult Health Nurse Practitioner · NPI 1396761060

Deirdre Irene Detraz, ANPC is a Nurse Practitioner in Lafayette, Louisiana. Qualified in 2005, 21 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
21
Licensed in
LA
In the registry since
2006
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Practice location Address checks out

207 N Luke St
Lafayette, LA 70506
Phone: (337) 739-7278
Fax: (337) 419-0533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APO 4805 (LA)

Record details

NPI number1396761060
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANPC
Sole proprietorYes
NPI enumeratedJuly 14, 2006
Last updated in NPPESNovember 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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