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Organization
NP MED OF ACADIANA LLC
Active
Organization
NP MED OF ACADIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEIFFER BENGIE WYBLE APRN, NP (SOLE OWNER)
(305) 322-5100
Entity
Organization
Contact information
Practice address
4811 AMBASSADOR CAFFERY PKWY FL 4, LAFAYETTE, LA 70508-7265
(305) 322-5100
Mailing address
207 SANDBAR LN, LAFAYETTE, LA 70508-7263
(305) 832-2510
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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