Individual
SIMONE ADEL PITRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-NP
Contact information
Practice address
1305 N STATE ST, ABBEVILLE, LA 70510-2825
(337) 422-6240
(337) 422-6241
Mailing address
110 CURRAN LN, LAFAYETTE, LA 70506-7222
(337) 706-7700
(337) 706-7710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
67000-3451
ME
363LP2300X
Primary Care Nurse Practitioner
Primary
AP03451
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558800
—
LA
01
—
5X9147191
MEDICARE
LA
Enumeration date
08/10/2006
Last updated
11/02/2020
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