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Individual

MRS. ZANDI WATSON HUDSPETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
309 WALNUT ST STE A, AMITE, LA 70422-2055
(985) 748-9812
(985) 247-2329
Mailing address
309 WALNUT ST STE A, AMITE, LA 70422-2055
(985) 748-9812
(985) 247-2329

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06717
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3C974
MEDICARE PTAN
LA
Enumeration date
01/13/2012
Last updated
05/25/2012
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