Headache Clinic Of Cenla
Nurse Practitioner, Family in Alexandria, LA. Organization (NPI-2).
NPI number1447876289
StatusActive
Last updated in NPPESJun 28, 2021
Details
- NPI
- 1447876289
- Entity type
- Organization (NPI-2)
- Legal business name
- Headache Clinic Of Cenla
- Organization subpart
- No
- Enumeration date
- Jun 17, 2020
- Certification date
- Jun 28, 2021
- Last updated
- Jun 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Other names
- The Headache Clinic (Doing Business As)
Practice location
211 N 3rd St Ste AAlexandria, LA 71301-8568
Phone 318-625-7299 · Fax 318-625-7169
Mailing address
211 N 3rd St Ste AAlexandria, LA 71301-8568
Phone 318-625-7299 · Fax 318-625-7169
Other practice locations
5328 Cypress St
West Monroe, LA 71291-7506
West Monroe, LA 71291-7506
Phone 318-625-7299 · Fax 318-625-7169
Authorized official
Ashley Mason
Office Manager
3186641817
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