Individual
MRS. KAITLYN VERRET ELLENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 SPANISH MOSS LN, BROUSSARD, LA 70518-7739
(985) 714-2181
Mailing address
113 SPANISH MOSS LN, BROUSSARD, LA 70518-7739
(985) 714-2181
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
205536
LA
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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