Advanced Dermatology & Family Health Care Walk-in & Wellness Clinicllc

NPI 1154652618 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1154652618
Enumeration Date 01/22/2010
Last Updated 08/31/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MELISSA M MELISSA
Position ADULT NURSE PRACTITIONER/CEO
Phone (985) 674-1481
Fax (985) 626-6956
Practice Location
3295 E CAUSEWAY APPROACH
MANDEVILLE LA, 70448-3451, US
Phone (985) 674-1481
Fax (985) 626-6956
Business Location
3295 E CAUSEWAY APPROACH
MANDEVILLE LA, 70448-3451, US
Phone (985) 674-1481
Fax (985) 626-6956
Toxanomy
Taxonomy Code 363LA2200X
License State Louisiana
License Number AP05770
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According to our database, Advanced Dermatology & Family Health Care Walk-in & Wellness Clinicllc NPI is 1154652618, taxonomy code is 363LA2200X and license number is AP05770, license state is located at Louisiana. Advanced Dermatology & Family Health Care Walk-in & Wellness Clinicllc physically located at 3295 E Causeway Approach, Mandeville LA, 70448-3451. NPI Number 1033115704 has the healthcare provider type.

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1154652618 NPI number is provided on an as is basis without warranty of any kind. 1154652618 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Dermatology & Family Health Care Walk-in & Wellness Clinicllc are for informational purposes only.