Individual
STELLA M. SOUTHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4212 W CONGRESS ST, SUITE 3200, LAFAYETTE, LA 70506-6765
(337) 981-3546
Mailing address
PO BOX 60475, LAFAYETTE, LA 70596-0475
(337) 988-1890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP04566
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475611
—
LA
Enumeration date
11/30/2005
Last updated
07/08/2007
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