institution
Morehouse Community Medical Centers, Inc
Pediatric Nurse Practitioner in Bastrop, Louisiana
NPI 1114252558

Morehouse Community Medical Centers, Inc is a Pediatric Nurse Practitioner based in Bastrop, LA and is specialized in Pediatrics. Morehouse Community Medical Centers, Inc practices in Bastrop, LA. The NPI Number for Morehouse Community Medical Centers, Inc is 1114252558 and holds a License No. (Louisiana).

The current practice location address for Morehouse Community Medical Centers, Inc is 1001 W Madison Ave, Bastrop, LA and can be reached out via phone at 318-281-8422.

Location: 1001 W Madison Ave, Bastrop, LA, 71221-0792
institution
Provider Profile Details
NPI Number
1114252558
Provider Name
Morehouse Community Medical Centers, Inc
Credential
Provider Entity Type
Organization
Address
1001 W Madison Ave, Bastrop, LA, 71221-0792
Phone Number
318-281-8422
Fax Number
Provider Enumeration Date
10/02/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1803898 05 LA
institution
Provider Business Practice Location Address Details
Address
1001 W Madison Ave
City
State
Zip
71220-4331
Phone Number
318-281-8422
Fax Number
person
Provider Business Mailing Address Details
Address
1001 W Madison Ave
City
State
Zip
71220-4331
Phone Number
318-281-8422
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
05544 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
()
Definition
Definition to come...
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