Individual
BRIDGET WHEAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12460 BROWN RD, DENHAM SPRINGS, LA 70726-6835
(225) 664-4221
Mailing address
26225 OLIVER WHEAT RD, LIVINGSTON, LA 70754-3406
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
281081
LA
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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