| NPI | 1346832359 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | LEACHEL COOK MCMILLAN Provider/Owner 504-875-6629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2023-06-09 |