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Individual

EDWINA DIANE TAPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
7250 HWY 44, UNCLE SAM, LA 70792
(225) 474-4102
(225) 474-4093
Mailing address
7250 HWY 44, UNCLE SAM, LA 70792
(859) 585-0338

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3006553
KY
363LF0000X
Family Nurse Practitioner
Primary
AP08090
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100137560
KY
Enumeration date
07/29/2010
Last updated
01/05/2016
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