Individual
SANDI P NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
809 W TUNNEL BLVD, HOUMA, LA 70360-5555
(985) 851-1717
(985) 851-7183
Mailing address
809 W TUNNEL BLVD, HOUMA, LA 70360-5555
(985) 851-1717
(985) 851-7183
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP01224
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1662470
—
LA
Enumeration date
06/12/2006
Last updated
07/09/2007
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