ACA CLINIC NPI 1922591080

NPI Information

ACA CLINIC is a health service clinic center in Plaquemine, LA. ACA CLINIC NPI is 1922591080. The provider is registered as an organization entity type.

The provider's business location address is:

23823 EDEN ST
PLAQUEMINE, LA
ZIP 70764-315
Phone: (225) 284-7158

The provider's authorized official is Andrea Anderson Pruitt .
The authorized official title is Nurse Practitioner and has the following contact phone number (225) 284-7158.

The enumeration date for this NPI number is 6/12/2018 and was last updated on 11/11/2019.

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:

Other Identifiers

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

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