Individual
MS. WENDY ANNE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN - FNP
Contact information
Practice address
1203 S TYLER ST, SUITE 200, COVINGTON, LA 70433
(985) 892-9143
(985) 892-9656
Mailing address
1203 S TYLER ST, SUITE 200, COVINGTON, LA 70433-2353
(985) 892-9143
(985) 892-9656
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN094158 AP04160
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464562
—
LA
01
—
352323ZADS
MEDICARE
—
Enumeration date
08/25/2005
Last updated
07/10/2018
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