Individual
REBEKAH HOTARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 RUE FONTAINE, LAFAYETTE, LA 70508-5742
(337) 889-3682
Mailing address
4400 AMBASSADOR CAFFERY PKWY STE A, PMB 165, LAFAYETTE, LA 70508-6760
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
235545
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/16/2024
Last updated
07/18/2024
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