Individual
EVELYNE DENISE BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
435 HOMER RD, MINDEN, LA 71055-2933
(318) 371-3001
(318) 371-3300
Mailing address
435 HOMER RD, MINDEN, LA 71055-2933
(318) 371-3001
(318) 371-3300
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN72650
LA
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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