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Individual

KIMBERLY TOUPS PRATHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN FNP-C

Contact information

Practice address
1000 OCHSNER BLVD, COVINGTON, LA 70433-8107
(504) 875-2828
Mailing address
4430 HIGHWAY 22, MANDEVILLE, LA 70471-3310
(985) 626-3470
(985) 674-5377

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07936
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08309766
MS
05
2383736
LA
Enumeration date
08/04/2014
Last updated
12/17/2015
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