Organization
PELICAN PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE COUVILLON BRASHER APRN, CPNP (OWNER, MANAGER)
(318) 927-3255
Entity
Organization
Contact information
Practice address
911 W MAIN ST, SUITE C, HOMER, LA 71040-3300
(318) 927-3255
(318) 927-3257
Mailing address
911 W MAIN ST, SUITE C, HOMER, LA 71040-3300
(318) 927-3255
(318) 927-3257
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
2203781980
LA
363LP0200X
Pediatric Nurse Practitioner
APO5536
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1325295
—
LA
Enumeration date
11/07/2013
Last updated
10/01/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us