Individual
Y'ANNIKA ANJANE' EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1057 PAUL MAILLARD RD, LULING, LA 70070-4349
(985) 785-3740
Mailing address
1057 PAUL MAILLARD RD, LULING, LA 70070-4349
(985) 785-3740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08706
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00057343
—
MS
05
—
2422880
—
LA
Enumeration date
04/13/2016
Last updated
10/31/2016
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