Individual
MRS. MAUREEN ADRIAN POE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
921 1ST AVE, SULPHUR, LA 70663-3424
(337) 526-6774
(337) 375-0021
Mailing address
6464 CORBINA RD, LAKE CHARLES, LA 70607-7674
(337) 526-6774
(337) 375-0021
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
AP01864
LA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
AP01864
LA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP01864
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1113115
—
LA
Enumeration date
06/14/2005
Last updated
12/18/2024
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