Individual
EMILY WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
107 FRONT ST STE 2126, VIDALIA, LA 71373-2835
(318) 414-9336
(318) 599-1178
Mailing address
604 N ACADIA RD STE 101, THIBODAUX, LA 70301-4897
(985) 446-5079
(985) 447-2497
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08458
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2400959
—
LA
Enumeration date
08/11/2015
Last updated
11/04/2025
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