Individual
KATHERINE ELIZABETH BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
450 MOOSA BLVD, EUNICE, LA 70535-3610
(337) 546-6646
Mailing address
2185 BEARCAT RD, BASILE, LA 70515-3038
(337) 580-3611
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218850
LA
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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