Laksamana Perintis Nusantara, NP
Laksamana Perintis Nusantara, NP is a Family Nurse Practitioner in Lafayette, Louisiana. Licensed in Florida and Louisiana. Registered with an NPI since 2023.
- Licensed in
- FL, LA
- In the registry since
- 2023
- Specialties on file
- 2
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
401 Youngsville Hwy Ste 100Lafayette, LA 70508-5173
Phone: (337) 451-0663
Fax: (337) 205-8650
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 234786 (LA) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 11027192 (FL) |
Record details
| NPI number | 1205610607 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NP |
| Sole proprietor | No |
| NPI enumerated | August 24, 2023 |
| Last updated in NPPES | October 23, 2025 |
| Certification date | October 23, 2025 |
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