Individual
ANNA G FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
136 HOSPITAL DR, LAFAYETTE, LA 70503-2819
(337) 289-8282
Mailing address
107 CHERRY BARK LN, LAFAYETTE, LA 70508-8146
(318) 218-3963
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202438
LA
Other
Enumeration date
01/22/2019
Last updated
05/27/2019
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