Individual
BROOKE ALENE MELANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2840 FLORIDA BLVD, BATON ROUGE, LA 70802-2721
(225) 224-2502
Mailing address
2840 FLORIDA BLVD, BATON ROUGE, LA 70802-2721
(225) 224-2502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206194
LA
Other
Enumeration date
06/17/2019
Last updated
08/13/2019
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