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Individual

ANNA MOORE TRUITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C

Contact information

Practice address
27455 LA-22, SUITE B, PONCHATOULA, LA 70454
(985) 206-9877
Mailing address
19042 MERCHANTS TRAIL AVE, BATON ROUGE, LA 70817-7765
(918) 527-2478

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
229509
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
229509
LA

Other

Enumeration date
03/29/2023
Last updated
04/06/2023
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