| NPI | 1710355896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER NICOLE CREEL Owner 985-839-6945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08499) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |