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Individual

MALLORY PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC, FNP-BC

Contact information

Practice address
8585 PICARDY AVE STE 313, BATON ROUGE, LA 70809-3749
(225) 381-2755
Mailing address
1210 ETTA DR, SAINT GABRIEL, LA 70776-5624
(601) 807-3760

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
221476
LA
363LF0000X
Family Nurse Practitioner
221476
LA

Other

Enumeration date
09/16/2021
Last updated
09/16/2021
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