Doctor Name: | MRS. LAUREN BRANCH PARKER |
NPI Number: | 1013325992 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, FNP-C |
License Number: | AP07935 |
Business Practice Address: | 4430 Highway 22 Mandeville, LA - 704713310 |
Business Phone Number: | 9856263470 |
Business Fax Number: | 9856745377 |
Mailing Address: | 4430 Highway 22, MANDEVILLE |
State: | LA |
Postal Code: | 704713310 |
Phone Number: | 9856263470 |
Fax Number: | 9856745377 |
NPI Enumeration Date: | 07/23/2014 |
NPI Last Update Date: | 12/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP07935 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |