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PHOENIX PROVIDER SERVICES LLC

Psychiatric/Mental Health Nurse Practitioner

NPI: 1942672720Organization

Specialties, Licenses & Credentials

Nurse Practitioner

Code: 363L00000X

Nurse Practitioner — Psychiatric/Mental Health

Code: 363LP0808X

Contact & Hours

Address
1509 DULLES DR
LAFAYETTE, LA 70506

Quick Facts

NPI
1942672720
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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