Individual
MRS. KATHERINE EAGLE LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C, FNP-C
Contact information
Practice address
2876 HIGHWAY 956, ETHEL, LA 70730-4518
(225) 683-8965
Mailing address
2876 HIGHWAY 956, ETHEL, LA 70730-4518
(225) 683-8965
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN093592AP06079
LA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN093592/AP06079
LA
363LF0000X
Family Nurse Practitioner
RN093592/AP06079
LA
Other
Enumeration date
04/19/2010
Last updated
05/16/2014
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