Individual
MICHELLE PRENTICE MAYEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
147 W HENFER AVE, RIVER RIDGE, LA 70123-2470
(504) 400-9164
Mailing address
147 W HENFER AVE, RIVER RIDGE, LA 70123-2470
(504) 400-9164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08899
LA
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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