NPI | 1679155121 |
---|---|
Entity Type | Organization |
Authorized Contact | YOLANDA NARCISSE BREAUX Provider 337-484-3216 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2021-04-24 |
Last Update Date | 2024-11-05 |