Individual
ELIZABETH ANN MOUTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12880 PLANK RD, BAKER, LA 70714-4909
(225) 774-7111
Mailing address
6943 BURTCLIFF DR, BATON ROUGE, LA 70818-6706
(337) 692-0660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09387
LA
Other
Enumeration date
07/25/2017
Last updated
11/21/2019
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