Individual
BRANDY LAWSON MOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
520 N LEWIS ST, SUITE 101, NEW IBERIA, LA 70563-2094
(337) 367-5200
(337) 369-3074
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 876-0300
(985) 872-0317
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN103097 - AP04768
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1317870
—
LA
01
—
P00397581
RR MEDICARE
LA
Enumeration date
10/11/2006
Last updated
12/11/2007
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