| NPI | 1295110153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY CREPPEL HEBERT Family Nurse Practitioner 985-709-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: LA AP08283) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |