Mallory Price, AGACNP-BC, FNP-BC | |
8585 Picardy Ave Ste 313, Baton Rouge, LA 70809-3749 | |
(225) 381-2755 | |
Not Available |
Full Name | Mallory Price |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 8585 Picardy Ave Ste 313, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215607635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 221476 (Louisiana) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 221476 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lsuhn Billing Llc | 0446337802 | 173 |
Entity Name | Lsuhn Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992975775 PECOS PAC ID: 0446337802 Enrollment ID: O20080409000372 |
Mailing Address | Practice Location Address |
---|---|
Mallory Price, AGACNP-BC, FNP-BC 1210 Etta Dr, Saint Gabriel, LA 70776-5624 Ph: (601) 807-3760 | Mallory Price, AGACNP-BC, FNP-BC 8585 Picardy Ave Ste 313, Baton Rouge, LA 70809-3749 Ph: (225) 381-2755 |
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