Organization · Type 2 NPI
Community Healthcare Clinic, LLC
Adult Health Nurse Practitioner · Henderson, LA
NPI number
1396138145
Active
Practice location
1421 Henderson Highway
Henderson, LA 70517
Fax (337) 464-6149
Mailing address
PO Box 597
Henderson, LA 70517-0597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | AP04925 (LA) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1396138145
Community Healthcare Clinic, LLC's National Provider Identifier is 1396138145, issued on Mar 17, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Henderson, LA. The record was last updated on Mar 17, 2015.