Individual
MRS. MARY A HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1200 S FARMERVILLE ST, RUSTON, LA 71270-5941
(318) 255-3690
Mailing address
1200 S FARMERVILLE ST, RUSTON, LA 71270-5941
(318) 255-3690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN045842 AP05064
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN045842 AP05064
ADVANCED PRACTICE REGISTE
LA
Enumeration date
01/02/2007
Last updated
07/08/2007
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