Individual
MRS. CARLA ANN VIDRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
220 HEBRARD BLVD, LAFAYETTE, LA 70504-3038
(337) 482-1335
(337) 456-9251
Mailing address
220 HEBRARD BLVD, LAFAYETTE, LA 70504-3403
(337) 482-1293
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08466
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2515985
—
LA
Enumeration date
07/15/2015
Last updated
11/08/2023
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