Individual
CHERI PHELPS NESOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NURSE CASE MANAGE
Contact information
Practice address
1585 3RD STREET, ATTENTION: CREDENTIALS ROOM, FT POLK, LA 71459-5102
(337) 531-4253
Mailing address
1585 3RD ST.,, ATTENTION: CREDENTIALS ROOM, FT POLK, LA 71459
(337) 531-4253
(337) 531-4314
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
113770
LA
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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