Phoenix Provider Services LLC
Phoenix Provider Services LLC is a Nurse Practitioner in Lafayette, Louisiana. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1509 Dulles DrLafayette, LA 70506-3718
Phone: (337) 991-9276
Fax: (337) 991-9288
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1942672720 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nicole Howard — Manager · (337) 991-9276 |
| NPI enumerated | October 20, 2015 |
| Last updated in NPPES | November 5, 2015 |
| Mailing address | 1509 Dulles Dr, Lafayette, LA 70506-3718 |
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