NPI | 1922890714 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTOINETTE RABENALDT Credentialing Coordinator/Human Res 337-330-2576 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-05-19 |
Last Update Date | 2025-07-22 |