Doctor Name: | MRS. ELAINE DANIEL CARPENTER |
NPI Number: | 1033364922 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 073214 |
Business Practice Address: | 2605 Emily Dr Port Allen, LA - 707675925 |
Business Phone Number: | 2252260395 |
Business Fax Number: | |
Mailing Address: | 2605 Emily Dr, PORT ALLEN |
State: | LA |
Postal Code: | 707675925 |
Phone Number: | 2252260395 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2008 |
NPI Last Update Date: | 11/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 073214 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |