| NPI | 1083365084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE HOWARD SVP Of Administrative Services 337-991-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2024-09-30 |