Individual
MRS. AMANDA JANE PITRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
302 W 4TH ST, DEQUINCY, LA 70633-3404
(337) 222-5524
Mailing address
302 W 4TH ST, DEQUINCY, LA 70633-3404
(337) 222-5524
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
218816
LA
363LF0000X
Family Nurse Practitioner
218816
LA
Other
Enumeration date
05/24/2021
Last updated
06/17/2024
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