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Organization
AB CRAIG APRN LLC
Active
Organization
AB CRAIG APRN LLC
Active
Other names
ABC Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY NICOLE ELSER (OFFICE MANAGER)
(337) 401-4686
Entity
Organization
Contact information
Practice address
402 W 8TH ST, DERIDDER, LA 70634-5508
(337) 401-4686
(337) 419-0974
Mailing address
402 W 8TH ST, DERIDDER, LA 70634-5508
(337) 401-4686
(337) 419-0974
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2401831
—
LA
05
—
2478605
—
LA
Enumeration date
02/21/2019
Last updated
03/17/2025
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