Individual
MALLIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 KEYSER AVE, NATCHITOCHES, LA 71457-6020
(318) 214-5770
Mailing address
PO BOX 2475, NATCHITOCHES, LA 71457-2475
(318) 214-4200
(318) 214-4633
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
230767
LA
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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