Individual
VIRGINIA M PELLEGRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
509 DUNN ST, HOUMA, LA 70360-4705
(985) 876-1714
(985) 868-6549
Mailing address
509 DUNN ST, HOUMA, LA 70360-4705
(985) 876-1714
(985) 868-6549
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN086560
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1537667
—
LA
Enumeration date
07/28/2006
Last updated
04/14/2008
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