Individual
BONNIE SPELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2900 GERSTNER MEMORIAL DR, LAKE CHARLES, LA 70601-8162
(337) 485-4185
Mailing address
616 OLD RIVER RD, STARKS, LA 70661-3308
(337) 278-1275
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
232107
LA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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