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Individual

AMY WEATHERFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2912 JOHNSTON ST, LAFAYETTE, LA 70503-3246
(337) 296-0482
(337) 988-9894
Mailing address
2912 JOHNSTON ST, LAFAYETTE, LA 70503-3246
(337) 296-0482
(337) 988-9894

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213887
LA

Other

Enumeration date
06/20/2020
Last updated
06/20/2020
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