| NPI | 1669630497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE L MIDYETT Nurse Practitioner 318-388-5830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA APO4963) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |