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2825 Grand Point Hwy Lot 6 Henderson LA 70517-6972 | |
(337) 454-6238 | |
(337) 408-1198 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 2825 Grand Point Hwy Lot 6, Henderson, Louisiana |
Authorized Official Name and Position | Antoinette Rabenaldt (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 3373302576 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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302 Hacker St New Iberia LA 70560-4508 Ph: (337) 330-2576 | 2825 Grand Point Hwy Lot 6 Henderson LA 70517-6972 Ph: (337) 454-6238 |
NPI Number | 1336965508 |
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Provider Enumeration Date | 12/03/2024 |
Last Update Date | 12/03/2024 |
Identifier | Type | State | Issuer |
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1336965508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |