Kellie Morasco NP

NPI 1760639942 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1760639942
Gender Female
Enumeration Date 08/19/2008
Last Updated 08/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
701 CYPRESS ST
SULPHUR LA, 70663-5053, US
Phone (800) 893-9698
Fax
Business Location
200 CORPORATE BLVD
SUITE 201
LAFAYETTE LA, 70508-3870, US
Phone
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Louisiana
License Number 097607
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According to our database, Kellie Morasco NP NPI is 1760639942, taxonomy code is 363LA2100X and license number is 097607, license state is located at Louisiana. Kellie Morasco NP physically located at 701 Cypress St, Sulphur LA, 70663-5053. NPI Number Kellie Morasco NP has the Individual type.

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1760639942 NPI number is provided on an as is basis without warranty of any kind. 1760639942 is maintained by the National Plan & Provider Enumeration System. The contents of Kellie Morasco NP are for informational purposes only.