Individual
OTISSICIA LATEAC HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
112 ST ANDREWS LN, BENTON, LA 71006-9446
(318) 272-5015
Mailing address
112 ST ANDREWS LN, BENTON, LA 71006-9446
(318) 272-5015
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
212262
LA
343900000X
Non-emergency Medical Transport (VAN)
—
—
363LF0000X
Family Nurse Practitioner
Primary
212262
LA
Other
Enumeration date
06/22/2023
Last updated
02/13/2026
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