Individual
MELANIE HEBERT FITZMORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(337) 593-5500
Mailing address
104 CAPTAIN RICK DR, YOUNGSVILLE, LA 70592-5773
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP07919
LA
363LF0000X
Family Nurse Practitioner
Primary
AP07919
LA
Other
Enumeration date
07/01/2014
Last updated
08/13/2014
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