Doctor Name: | NATALIE DEMOSS |
NPI Number: | 1063895175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-CPNP |
License Number: | AP08400 |
Business Practice Address: | 2309 Arkansas Rd West Monroe, LA - 712917820 |
Business Phone Number: | 3183977000 |
Business Fax Number: | 3187377203 |
Mailing Address: | 2309 Arkansas Road, WEST MONROE |
State: | LA |
Postal Code: | 71291 |
Phone Number: | 3183977000 |
Fax Number: | 3187377203 |
NPI Enumeration Date: | 07/07/2015 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | AP08400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |