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HEART 2 HEART CARE CLINIC LLC NPI 1215396775


NPI Information

NPI: 1215396775
Provider Name: HEART 2 HEART CARE CLINIC, LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 19D2149703

Address:
1984 WOODDALE BLVD
BATON ROUGE, LA
ZIP 70806
Phone: (225) 803-9230
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HEART 2 HEART CARE CLINIC, LLC is a primary care nurse practitioner in Baton Rouge, LA. HEART 2 HEART CARE CLINIC, LLC NPI is 1215396775. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1984 WOODDALE BLVD
BATON ROUGE, LA
ZIP 70806-512
Phone: (225) 803-9230
Fax: (777) 553-9638

The provider's authorized official is Shetila Burrell .
The authorized official title is Owner/provider and has the following contact phone number (225) 300-6010.

The CLIA number assigned to this NPI record is 19D2149703 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2016 and was last updated on 1/21/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP2300XNurse PractitionerPrimary CareAP007758LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.