Organization · Type 2 NPI

Phoenix Provider Services LLC

Psychiatric/Mental Health Nurse Practitioner · Lafayette, LA

NPI number 1942672720 Active

Practice location

1509 Dulles Dr
Lafayette, LA 70506-3718

Fax (337) 991-9288

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XNone listed
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1942672720

Phoenix Provider Services LLC's National Provider Identifier is 1942672720, issued on Oct 20, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lafayette, LA. The record was last updated on Nov 5, 2015.