Organization
ADVANCED DERMATOLOGY & FAMILY HEALTH CARE WALK-IN & WELLNESS CLINICLLC
Active
Organization
ADVANCED DERMATOLOGY & FAMILY HEALTH CARE WALK-IN & WELLNESS CLINICLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA M BROWN ANP-C (ADULT NURSE PRACTITIONER/CEO)
(985) 674-4015
Entity
Organization
Contact information
Practice address
3295 E CAUSEWAY APPROACH, MANDEVILLE, LA 70448-3451
(985) 674-1481
(985) 626-6956
Mailing address
3295 E CAUSEWAY APPROACH, MANDEVILLE, LA 70448-3451
(985) 674-1481
(985) 626-6956
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP05770
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1812226
—
LA
Enumeration date
01/22/2010
Last updated
08/31/2010
Update your record
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