Individual
TALISE E HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
203 LAKE CATHERINE DR, LULING, LA 70070-3147
(504) 717-8993
Mailing address
105 SOPHIA DR, LULING, LA 70070-4208
(504) 717-8993
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
239591
LA
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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