NPI | 1326603911 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE HOWARD Sr VP Of Administrative Services 337-408-0797 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2019-05-08 |
Last Update Date | 2023-01-03 |