Individual provider · Type 1 NPI
Marvida Gonsoulin-Harris, RN
Community Health Registered Nurse · Lafayette, LA
NPI number
1659633584
Active
Practice location
220 W Willow St # A
Lafayette, LA 70501-2837
Fax (337) 262-1310
Mailing address
220 W Willow St
Lafayette, LA 70501-2837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 53129 (LA) |
Community Health Registered Nurse: Definition to come...
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About NPI 1659633584
Marvida Gonsoulin-Harris, RN's National Provider Identifier is 1659633584, issued on Jun 15, 2012. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Lafayette, LA. The record was last updated on Jul 13, 2012.