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Individual

MS. EMILIE ANNE ADEKANBI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1715 WOLF CIR, LAKE CHARLES, LA 70605-2353
(337) 480-7499
(337) 480-7498
Mailing address
PO BOX 122525 DEPT 2525, DALLAS, TX 75312-2152
(337) 494-2921
(337) 494-6523

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224420
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP24420
STATE NP LICENSE
LA
Enumeration date
03/07/2022
Last updated
04/21/2025
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