Organization
GIDDY UP PEDIATRICS
Active
Other names
Giddy Up Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER C. CHANLER (OWNER)
(318) 372-8797
Entity
Organization
Contact information
Practice address
600 FACTORY OUTLET DR STE 12, ARCADIA, LA 71001-3057
(318) 372-8797
Mailing address
1503 GOODWIN RD STE 1, RUSTON, LA 71270-2938
(318) 781-2310
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2387421
—
LA
Enumeration date
08/24/2022
Last updated
05/25/2023
Update your record
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