Doctor Name: | CINDY K STELLY |
NPI Number: | 1972775005 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, ANP-C |
License Number: | AP05442 |
Business Practice Address: | 820 S Broadway St Church Point, LA - 705254402 |
Business Phone Number: | 3376845232 |
Business Fax Number: | 3376843434 |
Mailing Address: | 108 Bayou Bend Cir, CARENCRO |
State: | LA |
Postal Code: | 705205513 |
Phone Number: | 3378963766 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2008 |
NPI Last Update Date: | 04/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | AP05442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |