Individual
STEPHENY SUMRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4811 AMBASSADOR CAFFERY PKWY STE 401A, LAFAYETTE, LA 70508-7265
(337) 456-6523
(337) 456-6521
Mailing address
4811 AMBASSADOR CAFFERY PKWY, SUITE 401A, LAFAYETTE, LA 70508-7265
(337) 456-6523
(601) 261-5716
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP09288
LA
363LF0000X
Family Nurse Practitioner
AP09288
LA
Other
Enumeration date
09/17/2014
Last updated
08/02/2017
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