Individual
HALEY ERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 JOHNSON ST, TALLULAH, LA 71282-4537
(318) 574-2374
Mailing address
1082 W BEAR LAKE RD, TALLULAH, LA 71282-7063
(318) 341-3270
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201938
LA
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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