Individual
MRS. SHELLY SEBASTIEN RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP,C
Contact information
Practice address
501 W SAINT MARY BLVD STE 200, LAFAYETTE, LA 70506-4665
(337) 470-4500
(337) 470-4515
Mailing address
501 WEST SAINT MARY BOULEVARD, SUITE 200, LAFAYETTE, LA 70506
(337) 470-4500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP06654
LA
363LA2200X
Adult Health Nurse Practitioner
RN100570-AP06654
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2170082
—
LA
Enumeration date
10/05/2011
Last updated
03/17/2018
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