| NPI | 1295049112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER LYNN BERRY Owner 985-226-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 05453) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |