Eva Lois Ullom RN, FNP-C

NPI 1275829566 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1275829566
Gender Female
Enumeration Date 06/24/2011
Last Updated 06/24/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
325 W 8TH ST
DERIDDER LA, 70634-5505, US
Phone (337) 463-3387
Fax (949) 862-5301
Business Location
2186 BALL RD
DERIDDER LA, 70634-6656, US
Phone (337) 463-3766
Fax (337) 463-3766
Toxanomy
Taxonomy Code 363LF0000X
License State Louisiana
License Number AP06502
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According to our database, Eva Lois Ullom RN, FNP-C NPI is 1275829566, taxonomy code is 363LF0000X and license number is AP06502, license state is located at Louisiana. Eva Lois Ullom RN, FNP-C physically located at 325 W 8th St, Deridder LA, 70634-5505. NPI Number Eva Lois Ullom RN, FNP-C has the Individual type.

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1275829566 NPI number is provided on an as is basis without warranty of any kind. 1275829566 is maintained by the National Plan & Provider Enumeration System. The contents of Eva Lois Ullom RN, FNP-C are for informational purposes only.