Individual
ABBY WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5922 W MAIN ST # A, HOUMA, LA 70360-1715
(985) 772-6825
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
333749
LA
363AM0700X
Medical Physician Assistant
—
LA
Other
Enumeration date
08/01/2022
Last updated
10/19/2022
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