STACEY SIMON

LAFAYETTE, LA
NPI1437577467
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: LA  AP 04849)
Enumeration Date2014-04-07
Last Update Date2014-04-07
Business Address
-- STACEY SIMON NNP-BC
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-289-7782
Mailing Address
-- STACEY SIMON NNP-BC
208 TALL OAKS LN
YOUNGSVILLE, LA 70592-5573
Phone number:
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