Individual
KELLY VIDRINE CZERWINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, NP-C
Contact information
Practice address
2390 W CONGRESS ST, LAFAYETTE, LA 70506-4205
(337) 261-6770
Mailing address
107 GRAND PRAIRIE DR, LAFAYETTE, LA 70506-6735
(337) 580-1304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07457
LA
Other
Enumeration date
07/18/2013
Last updated
02/04/2014
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