| NPI | 1730508201 |
|---|---|
| Doing Business As | PRIME BY ASERACARE |
| Entity Type | Organization |
| Authorized Contact | PAUL KUSSEROW President 225-292-2031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 104100000X Social Worker |
| 207PH0002X Emergency Medicine, Hospice and Palliative Medicine | |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine | |
| 2084H0002X Psychiatry & Neurology, Hospice and Palliative Medicine | |
| 2086H0002X Surgery, Hospice and Palliative Medicine | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2020-07-06 |