Individual
ELIZABETH JO FORET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 ACADIA PARK DR, RACELAND, LA 70394-2619
(985) 537-7575
Mailing address
111 ACADIA PARK DR, RACELAND, LA 70394-2619
(985) 537-7575
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN052206 - AP03108
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04906876
MEDICAID
MS
05
—
1559172
—
LA
Enumeration date
07/07/2005
Last updated
07/07/2014
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