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Individual

MS. AUGUSTA CHIKA ANYAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1921 DULLES DR, LAFAYETTE, LA 70506-2716
(337) 223-9487
(888) 511-5650
Mailing address
1921 DULLES DR, LAFAYETTE, LA 70506-2716
(337) 223-9487
(888) 511-5650

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
145787
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
215584
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2543512
LA
Enumeration date
05/23/2020
Last updated
01/24/2022
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