Organization
ALYSSA MARTIN PMHNP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA L MARTIN PMHNP (OWNER)
(337) 534-0971
Entity
Organization
Contact information
Practice address
302 LA RUE FRANCE STE 200, LAFAYETTE, LA 70508-3133
(337) 534-0121
(337) 534-0974
Mailing address
302 LA RUE FRANCE STE 200, LAFAYETTE, LA 70508-3133
(337) 534-0121
(337) 534-0974
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2546813
—
LA
Enumeration date
04/20/2021
Last updated
12/17/2021
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