Individual
MRS. KEISHA LATRELLE NOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APMHNP
Contact information
Practice address
317 DERNIER ST, SAINT MARTINVILLE, LA 70582
(337) 342-2566
(337) 342-2392
Mailing address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(373) 654-9453
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
06645
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP06645
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2382951
—
LA
Enumeration date
08/14/2012
Last updated
10/19/2019
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