Individual
KATIE BROOKE DESHOTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN WHNP
Contact information
Practice address
805 CHERRY ST, MAMOU, LA 70554-2223
(337) 468-9011
(337) 468-2702
Mailing address
805 CHERRY ST, MAMOU, LA 70554-2223
(337) 468-9011
(337) 468-2702
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP08489
LA
363LW0102X
Women's Health Nurse Practitioner
AP08489
LA
Other
Enumeration date
01/02/2018
Last updated
03/17/2018
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