NPI | 1154652618 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA M BROWN Adult Nurse Practitioner/CEO 985-674-4015 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP05770) |
Enumeration Date | 2010-01-22 |
Last Update Date | 2010-08-31 |