| NPI | 1215396775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHETILA BURRELL Owner/Provider 225-300-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP007758) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2021-01-21 |