Organization
AVOYELLES WOMEN'S HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CLARK RACHAL WHNP (WHNP)
(318) 876-2800
Entity
Organization
Contact information
Practice address
1408 FRONT ST, COTTONPORT, LA 71327-3514
(318) 876-2800
Mailing address
1408 FRONT ST, COTTONPORT, LA 71327-3514
(318) 876-2800
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
AP06238
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386959351
NPI
LA
05
—
2125419
—
LA
01
—
AP06238
ADVANCE PRACTICE NURSE
LA
Enumeration date
09/25/2014
Last updated
09/25/2014
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