Individual
CHRISTINE DEVILLIER RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
522 HARRELL DR, LAFAYETTE, LA 70503-4935
(337) 344-0742
Mailing address
522 HARRELL DR, LAFAYETTE, LA 70503-4935
(337) 344-0742
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP06061
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102419
—
LA
Enumeration date
03/11/2010
Last updated
08/17/2020
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