Organization
OPH-REGION 4-NURSE-FAMILY PARTNERSHIP PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MCNEILL BSN, RN (REGION 4-NFP SUPERVISOR-PHN-5)
(337) 262-5319
Entity
Organization
Contact information
Practice address
825 KALISTE SALOOM RD, BRANDYWINE III, SUITE 100, LAFAYETTE, LA 70508-4284
(337) 262-5319
(337) 262-5237
Mailing address
825 KALISTE SALOOM RD, BRANDYWINE III, SUITE 100, LAFAYETTE, LA 70508-4284
(337) 262-5319
(337) 262-5237
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CM 9912
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1567124
—
LA
Enumeration date
12/08/2006
Last updated
08/22/2020
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