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COURTNEY MCCULLOUGH WESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2600 TOWER DR STE 309, MONROE, LA 71201-5783
(318) 966-6575
(318) 966-6586
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1915TAP
LA
363LF0000X
Family Nurse Practitioner
Primary
AP05612
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316041
LA
01
AP05612
APRN LICENSE
LA
Enumeration date
08/18/2008
Last updated
05/20/2021
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