| NPI | 1346947744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN CANNON GODEAUX Owner Family Nurse Practitioner 337-210-5827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-28 |