Mgpmhnp LLC
Nurse Practitioner, Psych/Mental Health in Bunkie, LA. Organization (NPI-2).
NPI number1619708948
StatusActive
Last updated in NPPESAug 8, 2024
Details
- NPI
- 1619708948
- Entity type
- Organization (NPI-2)
- Legal business name
- Mgpmhnp LLC
- Organization subpart
- No
- Enumeration date
- Aug 8, 2024
- Certification date
- Aug 8, 2024
- Last updated
- Aug 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
323 Evergreen StBunkie, LA 71322-1307
Phone 318-346-3143
Mailing address
Po Box 142Pitkin, LA 70656-0142
Phone 337-226-8938
Authorized official
Megan Lee Ann Trask
Sole Owner
3372268938
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