Individual
ELAINE MARIE WAGUESPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN - FNP
Contact information
Practice address
803 ALBERTSON PKWY, BROUSSARD, LA 70518-4349
(337) 889-5364
(337) 232-0477
Mailing address
803 ALBERTSON PKWY, BROUSSARD, LA 70518-4349
(337) 889-5364
(337) 232-0477
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP10134
LA
363LF0000X
Family Nurse Practitioner
Primary
AP10134
LA
Other
Enumeration date
02/04/2019
Last updated
12/09/2020
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