Individual
KRISTIN KING MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, APRN
Contact information
Practice address
54016 HIGHWAY 1062, LORANGER, LA 70446-3538
(985) 606-9000
(985) 878-9568
Mailing address
1150 WILLOW BROOK AVE, DENHAM SPRINGS, LA 70726-2710
(225) 421-6704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN152976
LA
363LF0000X
Family Nurse Practitioner
Primary
F07230967
LA
Other
Enumeration date
09/13/2023
Last updated
03/04/2025
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