Organization · Type 2 NPI
Diversified Medical Services, LLC
Family Nurse Practitioner · Gonzales, LA
NPI number
1760017305
Active
Practice location
2305 S Purpera Ave
Gonzales, LA 70737-5427
Mailing address
106 Tenth St
Bay St. Louis, MS 39520-2409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Gonzales
About NPI 1760017305
Diversified Medical Services, LLC's National Provider Identifier is 1760017305, issued on Mar 4, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gonzales, LA. The record was last updated on Mar 4, 2020.