Organization · Type 2 NPI
Pediatric Group of Acadiana, LLC
Rural Health Clinic/Center · St. Martinville, LA
NPI number
1922283225
Active
Practice location
1119 N Main St
St. Martinville, LA 70582-3513
Mailing address
401 Youngsville Hwy Ste 100
Lafayette, LA 70508-5173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 10447R (LA) |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
4 other providers at this address
- Courtney Vice Habetz, P.A.-CPhysician Assistant St. Martinville, LA NPI 1235268293
- Grace Bourgeois Dufrene, FNPPsychiatric/Mental Health Nurse Practitioner St. Martinville, LA NPI 1205178217
- Hollan Deshotel Fortier, APRN, FNP-CFamily Nurse Practitioner St. Martinville, LA NPI 1336564533
- Jenna Neuville ArmentorFamily Nurse Practitioner St. Martinville, LA NPI 1952042822
About NPI 1922283225
Pediatric Group of Acadiana, LLC's National Provider Identifier is 1922283225, issued on Jan 4, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in St. Martinville, LA. The record was last updated on Dec 16, 2019.