# AB CRAIG APRN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ABC Wellness Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205393709
- **Authorized official:** STACEY NICOLE ELSER (OFFICE MANAGER)
- **Authorized official phone:** (337) 401-4686

## Contact information

- **Practice address:** 402 W 8TH ST, DERIDDER, LA 70634-5508
- **Practice address phone:** (337) 401-4686
- **Practice address fax:** (337) 419-0974
- **Mailing address:** 402 W 8TH ST, DERIDDER, LA 70634-5508
- **Mailing address phone:** (337) 401-4686
- **Mailing address fax:** (337) 419-0974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2019
- **Last updated:** 03/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2401831 | — | LA |
| 05 | — | 2478605 | — | LA |