Individual
MRS. ATHENA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
155 HOSPITAL DR, SUITE 410, LAFAYETTE, LA 70503-2852
(337) 289-9700
(337) 289-9702
Mailing address
155 HOSPITAL DR, SUITE 410, LAFAYETTE, LA 70503-2852
(337) 289-9700
(337) 289-9702
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP04546
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP05456
LICENSE
LA
Enumeration date
04/30/2008
Last updated
07/30/2014
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