WOUND OSTOMY CARE CLINIC LLC NPI 1912418971

NPI Information

NPI: 1912418971
Provider Name: WOUND OSTOMY CARE CLINIC LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 19D2174637

Address:
100 WESTLAND PL
WEST MONROE, LA
ZIP 71291
Phone: (318) 314-2308
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WOUND OSTOMY CARE CLINIC LLC is a family nurse practitioner in West Monroe, LA. WOUND OSTOMY CARE CLINIC LLC NPI is 1912418971. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 WESTLAND PL
WEST MONROE, LA
ZIP 71291-446
Phone: (318) 314-2308

The provider's authorized official is Karen Stansbury .
The authorized official title is Owner and has the following contact phone number (318) 314-2308.

The CLIA number assigned to this NPI record is 19D2174637 - other - nurse practitioner office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2017 and was last updated on 2/6/2020.

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			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: 5/5/2024

NPI Synchronization or Removal

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