Individual
MARY J. ST. PIERRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
243 CURTISS RD, 2 MDG/SGHC; AEROSPACE MEDICINE; SUITE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-6131
(318) 456-6246
Mailing address
FNP, 2 MDG/SGHC; AEROSPACE MEDICINE; SUITE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-6131
(318) 456-6246
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP04153
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1143723
—
LA
Enumeration date
05/04/2007
Last updated
07/12/2012
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