# PRIMARY CARE & WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255828398
- **Authorized official:** DARLENE LABOSTRIE (MANAGER)
- **Authorized official phone:** (404) 490-0304

## Contact information

- **Practice address:** 9954 LAKE FOREST BLVD STE 10, NEW ORLEANS, LA 70127-2647
- **Practice address phone:** (504) 241-0105
- **Practice address fax:** (504) 241-0106
- **Mailing address:** PO BOX 872713, NEW ORLEANS, LA 70187-2713
- **Mailing address phone:** (404) 490-0304
- **Mailing address fax:** (504) 241-0106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | AP09804 | LA | Yes |

## Other

- **Enumeration date:** 04/14/2018
- **Last updated:** 04/14/2018