Organization
MILLCREEK MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH M WOODRUFF PMHNP (NP/OWNER)
(337) 889-3682
Entity
Organization
Contact information
Practice address
215 RUE FONTAINE, LAFAYETTE, LA 70508-5742
(337) 889-3682
(337) 806-9339
Mailing address
PO BOX 80522, LAFAYETTE, LA 70598-0522
(337) 889-3682
(337) 806-9339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
04/12/2024
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