Individual
PATTI C. WASCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
433 PLAZA ST STE 2A, BOGALUSA, LA 70427-3729
(985) 730-7020
(985) 730-7022
Mailing address
58625 MOCSAW RD., BOGALUSA, LA 70427
(985) 730-7020
(985) 730-7022
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN055001
LA
363LF0000X
Family Nurse Practitioner
Primary
AP02803
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1694207
—
LA
Enumeration date
07/15/2006
Last updated
05/19/2021
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