Organization
5XY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATNENA LUSTER DNP, FNP (OWNER)
(985) 771-2221
Entity
Organization
Contact information
Practice address
201 GREENBRIER BLVD, COVINGTON, LA 70433-7236
(985) 771-2221
Mailing address
PO BOX 957, MADISONVILLE, LA 70447-0957
(985) 771-2221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/23/2017
Last updated
05/09/2018
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