Individual
BRENDA PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3975 I-49 FRONTAGE ROAD, SUITE 105, OPELOUSAS, LA 70570-9999
(337) 594-0750
Mailing address
46 LOUIS PRIMA DR, STE A, COVINGTON, LA 70433-5903
(985) 892-7070
(985) 892-7017
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08457
LA
Other
Enumeration date
07/17/2015
Last updated
01/20/2016
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