# GIDDY UP PEDIATRICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Giddy Up Pediatrics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962121855
- **Authorized official:** AMBER C. CHANLER (OWNER)
- **Authorized official phone:** (318) 372-8797

## Contact information

- **Practice address:** 600 FACTORY OUTLET DR STE 12, ARCADIA, LA 71001-3057
- **Practice address phone:** (318) 372-8797
- **Mailing address:** 1503 GOODWIN RD STE 1, RUSTON, LA 71270-2938
- **Mailing address phone:** (318) 781-2310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2022
- **Last updated:** 05/25/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2387421 | — | LA |