Individual
HOLLY WELLMAN TRAVIS CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7777 BLUEBONNET BLVD STE 100, BATON ROUGE, LA 70810-1632
(225) 766-9091
(225) 766-9317
Mailing address
7777 BLUEBONNET BLVD. STE 100, BATON ROUGE, LA 70810
(225) 766-9091
(225) 766-9317
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP06560
LA
363LF0000X
Family Nurse Practitioner
Primary
AP06560
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2157060
—
LA
Enumeration date
07/15/2011
Last updated
03/17/2016
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