Individual
KRISTI L LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
310 GATEWAY DR, SUITE B, SLIDELL, LA 70461-5540
(985) 645-8687
(985) 645-0230
Mailing address
310 GATEWAY DRIVE, SUITE B, SLIDELL, LA 70461-5540
(985) 645-8687
(985) 645-0230
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP06011
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1822116
—
LA
Enumeration date
03/15/2010
Last updated
09/19/2012
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