Individual
WINTER DELEEN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1809 NORTHPOINTE LN, SUITE 102, RUSTON, LA 71270-3853
(318) 255-3762
Mailing address
415 HOLLAND RD, BERNICE, LA 71222-5645
(318) 285-0622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06362
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2153838
—
LA
Enumeration date
03/24/2011
Last updated
10/14/2013
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