| NPI | 1548656598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA RUSSELL ALMERICO Nurse Practitioner 985-373-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA AP05758) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-05-07 |