Individual
MRS. ELIZABETH KEYS CASSELBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5131 ODONOVAN DR, STE 300, BATON ROUGE, LA 70808-4782
(225) 765-7778
(225) 765-7754
Mailing address
2051 SILVERSIDE DR, STE 260, BATON ROUGE, LA 70808-9005
(225) 490-6301
(225) 765-9539
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP08524
LA
Other
Enumeration date
09/22/2015
Last updated
04/21/2016
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