Individual
MICHELLE PELLEGRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3015 CORDELL RD, HOUMA, LA 70363-7167
(985) 688-1498
Mailing address
3015 CORDELL RD, HOUMA, LA 70363-7167
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09224
LA
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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