Individual
KRISTA MANCUSO BALIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4906 AMBASSADOR CAFFERY PKWY BLDG M, LAFAYETTE, LA 70508-6962
(337) 534-8964
Mailing address
4906 AMBASSADOR CAFFERY PKWY BLDG M, LAFAYETTE, LA 70508-6962
(337) 534-8964
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
232007
LA
Other
Enumeration date
08/31/2023
Last updated
12/10/2025
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