Individual
MS. ROSALIE CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
825 KALISTE SALOOM RD, BLDG.3, SUITE 100, LAFAYETTE, LA 70508-4284
(337) 262-1772
(337) 262-5237
Mailing address
104 GABRIEL ST, LAFAYETTE, LA 70506-4720
(337) 235-4310
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
049556-1209
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532240
—
LA
Enumeration date
01/24/2007
Last updated
07/09/2007
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