| Pro-np Llc | |
|
325 Bacque Crescent Dr Lafayette LA 70503-2842 | |
| (337) 207-0528 | |
| (337) 205-6211 |
| Full Name | Pro-np Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 325 Bacque Crescent Dr, Lafayette, Louisiana |
| Authorized Official Name and Position | Christopher J Manuel (NP/OWNER) |
| Authorized Official Contact | 3373221245 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro-np Llc Po Box 53084 Lafayette LA 70505-3084 Ph: (337) 207-0528 | Pro-np Llc 325 Bacque Crescent Dr Lafayette LA 70503-2842 Ph: (337) 207-0528 |
| NPI Number | 1548564644 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Medicare PECOS PAC ID | 7517146822 |
|---|---|
| Medicare Enrollment ID | O20110119000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548564644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Teddi Poche' Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033292248 PECOS PAC ID: 5294771663 Enrollment ID: I20050707000494 |
| Provider Name | John C Dugal |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578563847 PECOS PAC ID: 8628014008 Enrollment ID: I20050707000631 |
| Provider Name | Courtney E Albritton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306023197 PECOS PAC ID: 9335226554 Enrollment ID: I20080411000193 |
| Provider Name | Tori R Mire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255546230 PECOS PAC ID: 9436210374 Enrollment ID: I20100326000164 |
| Provider Name | Christopher J Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801110127 PECOS PAC ID: 5496884637 Enrollment ID: I20100526000255 |
| Provider Name | Gary W Blanchard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134123706 PECOS PAC ID: 3476725714 Enrollment ID: I20111011000507 |
| Provider Name | Melissa M Breaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497000657 PECOS PAC ID: 9537311071 Enrollment ID: I20121210000352 |
| Provider Name | Melanie A Lacour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104176130 PECOS PAC ID: 8426284969 Enrollment ID: I20131112000306 |
| Provider Name | Racheal Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033522131 PECOS PAC ID: 3274750054 Enrollment ID: I20140819001882 |
| Provider Name | Emily Duhon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174974869 PECOS PAC ID: 7911290572 Enrollment ID: I20160720001636 |
| Provider Name | Crystal S Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013438399 PECOS PAC ID: 6002181971 Enrollment ID: I20171003004188 |
| Provider Name | Dawn Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467932889 PECOS PAC ID: 7012267099 Enrollment ID: I20180912003260 |
| Provider Name | Delaine Golson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124584719 PECOS PAC ID: 8921347048 Enrollment ID: I20190306002619 |
| Provider Name | Jace A Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346778123 PECOS PAC ID: 1456686690 Enrollment ID: I20190711000045 |
| Provider Name | Rebecca Doucet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114691391 PECOS PAC ID: 3375947344 Enrollment ID: I20210812002893 |
| Provider Name | Kimberly Bertrand Gatte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144992637 PECOS PAC ID: 6507259025 Enrollment ID: I20220205000182 |
| Provider Name | Ashley Lynn Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366189037 PECOS PAC ID: 3870977127 Enrollment ID: I20220906000711 |
| Provider Name | Robin Lea Barry-olivier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861647323 PECOS PAC ID: 9335433945 Enrollment ID: I20231228001216 |
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