Individual
MAKAYLA ALEXIS BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7939 HIGHWAY 165, COLUMBIA, LA 71418
(318) 789-6827
Mailing address
1012 DRANE LOOP, EXTENSION, LA 71243-4067
(318) 789-6827
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205707
LA
Other
Enumeration date
06/13/2025
Last updated
10/16/2025
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