| NPI | 1013546720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LEDOUX Administrator 337-945-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2022-04-21 |