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Organization

WOMANS OUTPATIENT CLINIC PROVIDERS

Active
Other names
Womans Outpatient Clinic Providers
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TERI FONTENOT (CEO)
(225) 927-1300
Entity
Organization

Contact information

Practice address
500 RUE DE LA VIE ST STE 407, BATON ROUGE, LA 70817-5128
(225) 215-7960
(225) 922-3381
Mailing address
100 WOMANS WAY, BATON ROUGE, LA 70817-5100
(225) 215-7960
(225) 922-3381

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP09920
LA

Other

Enumeration date
06/01/2018
Last updated
06/01/2018
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