Organization · Type 2 NPI
Bleu Med Spa & Laser Clinic, LLC
Primary Care Nurse Practitioner · Slidell, LA
NPI number
1225744642
Active
Practice location
3769 Pontchartrain Dr Ste 5
Slidell, LA 70458-4852
Mailing address
118 Grand Champions Ln
Slidell, LA 70458-8852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1225744642
Bleu Med Spa & Laser Clinic, LLC's National Provider Identifier is 1225744642, issued on Jan 30, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Slidell, LA. The record was last updated on Feb 3, 2023.