MOBILE PRACTITIONER LLC NPI 1295049112

NPI Information

NPI: 1295049112
Provider Name: MOBILE PRACTITIONER, LLC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

Address:
4577 MILL CREEK ST
HOUMA, LA
ZIP 70360
Phone: (985) 226-1118
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MOBILE PRACTITIONER, LLC is an acute care nurse practitioner in Houma, LA. MOBILE PRACTITIONER, LLC NPI is 1295049112. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4577 MILL CREEK ST
HOUMA, LA
ZIP 70360-149
Phone: (985) 226-1118

The provider's authorized official is Amber Lynn Berry .
The authorized official title is Owner and has the following contact phone number (985) 226-1118.

The enumeration date for this NPI number is 8/3/2010 and was last updated on 8/3/2010.

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	363LA2100X	Nurse Practitioner	Acute Care	05453	LOUISIANA	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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