Organization
AB CRAIG APRN LLC
Active
Other names
ABC Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY NICOLE ELSER (OFFICE MANAGER)
(337) 401-4686
Entity
Organization
Contact information
Practice address
402 W 8TH ST, DERIDDER, LA 70634-5508
(337) 401-4686
(337) 419-0974
Mailing address
402 W 8TH ST, DERIDDER, LA 70634-5508
(337) 401-4686
(337) 419-0974
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2401831
—
LA
05
—
2478605
—
LA
Enumeration date
02/21/2019
Last updated
03/17/2025
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