Individual provider · Type 1 NPI

Mary Mancuso Hearod, N.P.

Family Nurse Practitioner · Lake Charles, LA

NPI number 1144760414 Active

Practice location

2770 3rd Ave Ste 345
Lake Charles, LA 70601-8994

Call (337) 494-4785 Map

Fax (337) 494-4786

Mailing address

PO Box 122623, Dept 2623
Dallas, TX 75312-2623

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP09122 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1144760414

Mary Mancuso Hearod, N.P.'s National Provider Identifier is 1144760414, issued on Mar 6, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Charles, LA. The record was last updated on Apr 27, 2022.