| Stella Maris Health Llc | |
|
1231 Coolidge Blvd Lafayette LA 70503-2620 | |
| (337) 210-1614 | |
| Not Available |
| Full Name | Stella Maris Health Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1231 Coolidge Blvd, Lafayette, Louisiana |
| Authorized Official Name and Position | Jana Beth Gautreaux (OWNER) |
| Authorized Official Contact | 2253339559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stella Maris Health Llc 101 Jackson St Franklin LA 70538-5430 Ph: (225) 333-9559 | Stella Maris Health Llc 1231 Coolidge Blvd Lafayette LA 70503-2620 Ph: (337) 210-1614 |
| NPI Number | 1275901746 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275901746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
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