Individual
KEELEY CLAIRE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1105 HUDSON LN, MONROE, LA 71201-6003
(318) 322-6500
(318) 322-5118
Mailing address
394 FOREST CIR, RUSTON, LA 71270-2666
(318) 548-4066
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
207481
LA
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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