Individual
ETHAN ANTHONY REULET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 RIVER HIGHLANDS BLVD STE 200, COVINGTON, LA 70433-8913
(985) 238-0045
Mailing address
601 RIVER HIGHLANDS BLVD STE 200, COVINGTON, LA 70433-8913
(985) 238-0045
Taxonomy
Speciality
Code
Description
License number
State
163WX0800X
Orthopedic Registered Nurse
RN132025
LA
363LF0000X
Family Nurse Practitioner
Primary
211862
LA
Other
Enumeration date
01/03/2020
Last updated
02/13/2020
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