Individual
MELANIE BOUSEGARD WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1701 OAK PARK BLVD, LAKE CHARLES, LA 70601-8911
(337) 494-3000
Mailing address
PO BOX 722755, NORMAN, OK 73070-9088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09794
LA
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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