Ashton Creel Vidrine, APRN, PMHNP is a
Nurse Practitioner - Psychiatric/mental Health based in Angola, Louisiana. Ashton Creel Vidrine is licensed to practice in Louisiana (license number 202801) and his current practice location is
17544 Tunica Trce, Angola, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(225) 655-2284.
NPI number for Ashton Creel Vidrine is 1487402855 and his current mailing address is 935 Aberdeen Ave, Baton Rouge, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487402855.
Provider's Profile
Full Name | Ashton Creel Vidrine |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 17544 Tunica Trce, Angola, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487402855
- Provider Enumeration Date: 05/09/2024
- Last Update Date: 05/10/2024
Medical Identifiers
Medical identifiers for Ashton Creel Vidrine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487402855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 202801 (Louisiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ashton Creel Vidrine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ashton Creel Vidrine, APRN, PMHNP 935 Aberdeen Ave, Baton Rouge, LA 70808-3702 Ph: (225) 268-1412 | Ashton Creel Vidrine, APRN, PMHNP 17544 Tunica Trce, Angola, LA 70712-3029 Ph: (225) 655-2284 |
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