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DR. TERRELL S MANUEL LLC NPI 1255974515


NPI Information

NPI: 1255974515
Provider Name: DR. TERRELL S MANUEL, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
336 BRIGHTWOOD DR
LAFAYETTE, LA
ZIP 70508
Phone: (337) 298-8293
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DR. TERRELL S MANUEL, LLC is a family nurse practitioner in Lafayette, LA. DR. TERRELL S MANUEL, LLC NPI is 1255974515. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

336 BRIGHTWOOD DR
LAFAYETTE, LA
ZIP 70508-358
Phone: (337) 298-8293

The provider's authorized official is Terrell S Manuel .
The authorized official title is Owner/provider and has the following contact phone number (337) 298-8293.

The enumeration date for this NPI number is 10/19/2019 and was last updated on 10/19/2019.


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
1363LF0000XNurse PractitionerFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11810266MEDICAIDLOUISIANA

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: 4/28/2024

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