| NPI | 1235638222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE WELCH Owner / Authorized Official 318-306-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09452) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2021-07-12 |