Organization
MGPMHNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN LEE ANN TRASK PMHNP-BC (SOLE OWNER)
(337) 226-8938
Entity
Organization
Contact information
Practice address
323 EVERGREEN ST, BUNKIE, LA 71322-1307
(318) 346-3143
Mailing address
PO BOX 142, PITKIN, LA 70656-0142
(337) 226-8938
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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