Individual
MS. PATRICIA ELZEY WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
360 EMERALD FOREST BLVD STE H, COVINGTON, LA 70433-5193
(985) 892-3360
Mailing address
71147 KETCH PL, ABITA SPRINGS, LA 70420-3445
(985) 276-8599
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03417
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1563692
—
LA
Enumeration date
04/30/2007
Last updated
10/21/2013
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