Individual
ELIZABETH ROUSSEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
471 CENTRAL AVE, RESERVE, LA 70084-5509
(985) 479-1315
(337) 355-2335
Mailing address
1115 WEBER ST, FRANKLIN, LA 70538-4124
(337) 828-2550
(337) 355-2335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP08845
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP08845
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2444182
MEDICARE
LA
05
—
565748
—
LA
Enumeration date
10/06/2016
Last updated
06/17/2022
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