Individual
MARY KATHERINE CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
102 THOMAS RD STE 203, WEST MONROE, LA 71291-5547
(318) 255-3690
Mailing address
1200 S FARMERVILLE ST, RUSTON, LA 71270-5941
(318) 255-3690
(318) 251-6116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10065
LA
Other
Enumeration date
07/02/2018
Last updated
05/10/2023
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