| NPI | 1083899579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MORRISSEY DELANEY Chief Operating Officer 337-802-6596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |