| NPI | 1407128598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIE K CODY Owner/Np 985-543-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA ap 04596) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2020-03-02 |