Individual
MARIE CHILDS SANDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
26851 HIGHWAY 23, PORT SULPHUR, LA 70083-2509
(504) 564-3344
(504) 564-0174
Mailing address
26851 HIGHWAY 23, PORT SULPHUR, LA 70083-2509
(504) 564-3344
(504) 564-0174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO5890
LA
Other
Enumeration date
09/22/2009
Last updated
03/24/2010
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