Organization
PORTIE NP SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARCI LEAH PORTIE FNP-C (OWNER)
(337) 905-9034
Entity
Organization
Contact information
Practice address
IMPERIAL HEALTH, LLP, 607 NORTH THOMSON AVE, IOWA, LA 70647
(337) 582-5555
(337) 246-7202
Mailing address
1780 JESSICA LN, LAKE CHARLES, LA 70611-3750
(337) 905-9034
(337) 855-1829
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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