Individual
MARIE BULLIARD HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NNP-BC
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7782
Mailing address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7782
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP09156
LA
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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