Individual
GARLAND SIMON OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1520 LA-22, MADISONVILLE, LA 70403-1478
(985) 898-4001
Mailing address
716 BROWN THRASHER LOOP N, MADISONVILLE, LA 70447-3052
(985) 373-8878
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
218935
LA
363LF0000X
Family Nurse Practitioner
Primary
218935
LA
Other
Enumeration date
05/07/2021
Last updated
10/07/2021
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