Individual
MRS. BRANDY LAURICE SEMIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1727 IMPERIAL BLVD BLDG 1B, LAKE CHARLES, LA 70605-5392
(337) 312-8617
(337) 721-2939
Mailing address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10115
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2487931
—
LA
01
—
F06182664
AANP CERTIFICATION NO.
LA
Enumeration date
09/10/2018
Last updated
10/19/2020
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