Laksamana Nusantara, NP
NPI 1205610607 belongs to Laksamana Nusantara, NP, a primary care nurse practitioner with a practice location in Lafayette, LA. The NPI was issued on August 24, 2023, and the record was last updated in NPPES on October 23, 2025. The record lists 2 taxonomy codes.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 234786 (LA) |
| Family Nurse Practitioner | 363LF0000X | 11027192 (FL) |
Practice location
Local context
Active NPPES records list 14 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 9 of them within 10 miles.
The same primary taxonomy is listed by 182 in Louisiana and 13,165 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Laksamana Perintis Nusantara
- Status
- Active
- NPI issued
- Last updated in NPPES
- Deactivated
- Reactivated
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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