Individual
MRS. NOOR DEEB WECKERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1890 W GAUTHIER RD STE 155, LAKE CHARLES, LA 70605-7119
(337) 480-5550
(337) 480-5568
Mailing address
PO BOX 122539 DEPT 2539, DALLAS, TX 75312-2539
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09905
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
697989
—
LA
Enumeration date
06/19/2018
Last updated
05/12/2022
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