Individual
ALLISON NEWTON RAVASSIPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
110 WOODTHRUSH DR, MADISONVILLE, LA 70447-4004
(817) 597-9036
Mailing address
110 WOODTHRUSH DR, MADISONVILLE, LA 70447-4004
(817) 597-9036
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1000172
TX
363LF0000X
Family Nurse Practitioner
Primary
213636
LA
Other
Enumeration date
06/04/2020
Last updated
06/19/2020
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