Individual
MS. BERNADETTE MICHELLE EVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3521 HIGHWAY 190, SUITE P, EUNICE, LA 70535-5135
(337) 457-8040
(337) 457-8043
Mailing address
3521 HIGHWAY 190, SUITE P, EUNICE, LA 70535-5135
(337) 457-8040
(337) 457-8043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.200167
LA
363A00000X
Physician Assistant
PA9102708
FL
363AM0700X
Medical Physician Assistant
Primary
PA200167
LA
Other
Enumeration date
06/10/2006
Last updated
04/12/2011
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