Individual
NATHALY CARRION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1057 PAUL MAILLARD RD, LULING, LA 70070-4349
(985) 785-3655
Mailing address
416 DOUCET RD, UNIT 7F, LAFAYETTE, LA 70503-3466
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08455
LA
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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