Individual
STACEY B MOLINERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
(337) 497-2556
Mailing address
2000 OPELOUSAS ST, LAKE CHARLES, LA 70601-2641
(337) 439-9983
(337) 497-2556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP03857
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP03857
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1149284
—
LA
Enumeration date
06/03/2006
Last updated
03/27/2025
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