Individual
STEPHANIE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1890 W GAUTHIER RD STE 150, LAKE CHARLES, LA 70605-7119
(337) 480-5559
Mailing address
604 N ACADIA RD STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(985) 447-2497
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN147315
LA
363LF0000X
Family Nurse Practitioner
Primary
237223
LA
Other
Enumeration date
07/11/2024
Last updated
11/13/2024
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