Individual
ANNA KATHARINE PREJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
501 W SAINT MARY BLVD, SUITE 320, LAFAYETTE, LA 70506-4600
(337) 470-4801
(337) 470-4840
Mailing address
4811 AMBASSADOR CAFFERY PKWY, STE 305, LAFAYETTE, LA 70508-7266
(337) 470-3043
(337) 470-2019
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP06815
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2307908
—
LA
01
—
A0312069
CERTIFICATION NUMBER
LA
01
—
AP06815
LA APRN
LA
01
—
RN062211
LA RN
LA
Enumeration date
08/06/2012
Last updated
05/04/2016
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