Organization · Type 2 NPI

Northeast Delta Human Services Authority

Primary Care Clinic/Center · Monroe, LA

NPI number 1124772009 Active

Practice location

4800 S Grand St
Monroe, LA 71202-6412

Fax (318) 362-3336

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1124772009

Northeast Delta Human Services Authority's National Provider Identifier is 1124772009, issued on Feb 9, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Monroe, LA. The record was last updated on Aug 30, 2023.