MILLCREEK MEDICAL LLC NPI 1386253870

NPI Information

NPI: 1386253870
Provider Name: MILLCREEK MEDICAL LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
215 RUE FONTAINE
LAFAYETTE, LA
ZIP 70508
Phone: (337) 889-3682
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MILLCREEK MEDICAL LLC is a psychiatric/mental health nurse practitioner in Lafayette, LA. MILLCREEK MEDICAL LLC NPI is 1386253870. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

215 RUE FONTAINE
LAFAYETTE, LA
ZIP 70508-742
Phone: (337) 889-3682
Fax: (337) 806-9339

The provider's authorized official is Seth M Woodruff .
The authorized official title is Np/owner and has the following contact phone number (337) 889-3682.

The enumeration date for this NPI number is 7/30/2020 and was last updated on 4/12/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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

NPI Synchronization or Removal

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