Individual
WILLISHA M PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1013 N ROYAL ST STE B, BOGALUSA, LA 70427-2854
(985) 241-5036
Mailing address
1013 N ROYAL ST STE B, BOGALUSA, LA 70427-2854
(985) 241-5036
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163W00000X
Registered Nurse
Primary
240393
LA
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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