Organization
LONGEVITY HEALTH AND WELLNESS
Active
Organization
LONGEVITY HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA RUSSELL ALMERICO NP-C (NURSE PRACTITIONER)
(985) 373-3126
Entity
Organization
Contact information
Practice address
1101 VILLAGE WALK, COVINGTON, LA 70433-4006
(985) 373-3126
(225) 341-5388
Mailing address
848 E BOSTON ST, UNIT 501, COVINGTON, LA 70433-2982
(985) 373-3126
(225) 341-5388
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP05758
LA
Other
Enumeration date
04/07/2015
Last updated
05/07/2015
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