Individual
MS. WILINDA CARLSON DALGLEISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
324 W HALE ST, LAKE CHARLES, LA 70601-8439
(337) 433-9177
(337) 433-9173
Mailing address
324 W HALE ST, LAKE CHARLES, LA 70601-8439
(337) 433-9177
(337) 433-9173
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
131574-7062
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2342908
—
LA
Enumeration date
11/12/2012
Last updated
10/22/2013
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