Organization
WEEKEND CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN LEWIS MOORE EDD, FNP-B C (FAMILY NURSE PRACTITIONER/MANAGER)
(225) 733-4559
Entity
Organization
Contact information
Practice address
1718 N FOSTER DR, SUITE B, BATON ROUGE, LA 70806-1017
(225) 733-4559
Mailing address
PO BOX 45456, BATON ROUGE, LA 70895-4456
(225) 733-4559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
015344
LA
363LF0000X
Family Nurse Practitioner
RN075293 AP03576
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1317268
—
LA
05
—
1567981
—
LA
Enumeration date
05/04/2010
Last updated
05/04/2010
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