Organization
MERRYVILLE FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET RUTH AUBIN NURSE PRACTITIONER (OWNER/FAMILY NURSE PRACTITIONER)
(337) 825-8600
Entity
Organization
Contact information
Practice address
915 N BRYAN ST, MERRYVILLE, LA 70653-3302
(337) 825-8600
(337) 825-8666
Mailing address
915 N BRYAN ST, MERRYVILLE, LA 70653-3302
(337) 825-8600
(337) 825-8666
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN 032217APO4266
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1446025
—
LA
Enumeration date
05/11/2006
Last updated
08/22/2020
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