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 |