Individual
NATALIE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
(337) 289-7198
Mailing address
1214 COOLIDGE BLVD, LAFAYETTE, LA 70503-2621
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07425
LA
Other
Enumeration date
07/16/2013
Last updated
09/11/2017
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