Individual
MRS. CELESTE WOODARD BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1715 WOLF CIR, LAKE CHARLES, LA 70605-2353
(337) 480-7499
(337) 480-7498
Mailing address
PO BOX 122525 DEPT 2525, DALLAS, TX 75312-0001
(337) 494-2772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
211815
LA
363LF0000X
Family Nurse Practitioner
Primary
211815
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211815
STATE LICENSE
LA
Enumeration date
07/31/2020
Last updated
09/26/2022
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