Individual
TERESA ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 RUE BEAUREGARD STE 202, LAFAYETTE, LA 70508-3251
(713) 850-0049
Mailing address
546 SECRET CV, BOSSIER CITY, LA 71111-8400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
231474
LA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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