Organization
DEBRA VIDRINE, HEALTH CARE SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA VIDRINE HOPE VIDRINE APRN (FAMILY NURSE PRACTITIONER)
(337) 363-5592
Entity
Organization
Contact information
Practice address
1535 W MAIN ST STE 100, VILLE PLATTE, LA 70586-2867
(337) 363-5592
Mailing address
1039 RIVER BIRCH LN, VILLE PLATTE, LA 70586-1906
(337) 831-1416
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265506984
NPI
—
Enumeration date
11/05/2018
Last updated
11/05/2018
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