Individual
MRS. AUDREY BON STANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5760 MONTICELLO DR, SAINT GABRIEL, LA 70776-4412
(225) 247-3491
(225) 756-5335
Mailing address
9049 SMOKE ROCK DR, BATON ROUGE, LA 70817-6962
(225) 247-3491
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN06788-AP06419
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2147684
—
LA
Enumeration date
03/22/2011
Last updated
01/18/2013
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