Organization
B&B WOUND CARE CONSULTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MICHELLE BENJAMIN RN,WCC (OWNER)
(337) 680-0001
Entity
Organization
Contact information
Practice address
2519 PALMETO DR, NEW IBERIA, LA 70563-2926
(337) 680-0001
Mailing address
2519 PALMETO DR, NEW IBERIA, LA 70563-2926
(337) 680-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN089327
LA
163W00000X
Registered Nurse
Primary
RN141609
LA
163WW0000X
Wound Care Registered Nurse
4260923
LA
163WW0000X
Wound Care Registered Nurse
7280825
LA
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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