Organization
YOUNGSVILLE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLY NASH NP (OWNER)
(337) 857-2390
Entity
Organization
Contact information
Practice address
3215 EAST MILTON AVENUE SUITE 1, YOUNGSVILLE, LA 70592-5546
(337) 857-2390
(337) 857-2392
Mailing address
3215 EAST MILTON AVENUE, SUITE 1, YOUNGSVILLE, LA 70592
(337) 857-2390
(337) 857-2392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04512
LA
Other
Enumeration date
05/08/2007
Last updated
10/25/2007
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