Individual
AMANDA M PERRODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP (APRN)
Contact information
Practice address
427 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 234-1111
Mailing address
427 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 234-1111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN112617-AP06555
LA
Other
Enumeration date
08/02/2011
Last updated
10/06/2022
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