Individual
MRS. BETHANY M LEGENDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
235 CIVIC CENTER BLVD, HOUMA, LA 70360-5937
(985) 333-1496
Mailing address
235 CIVIC CENTER BLVD, HOUMA, LA 70360-5937
(985) 333-1496
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
222016
LA
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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