| NPI | 1336911528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY WILLIAMS Nurse Practitioner 504-344-0329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |