Individual
DEMEKA UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1505 N FLORIDA ST, COVINGTON, LA 70433-1544
(985) 900-1626
Mailing address
37112 COBBLESTONE AVE, GEISMAR, LA 70734-3260
(225) 978-4578
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN139755
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
218900
LA
Other
Enumeration date
03/05/2015
Last updated
04/23/2021
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