Individual
ELVA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-4663
Mailing address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
216028
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216028
LOUISIANA BOARD OF NURSING
LA
Enumeration date
01/28/2021
Last updated
02/17/2021
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