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Pelican Pediatrics, Llc
Pediatric Nurse Practitioner in Homer, Louisiana
NPI 1184053340

Pelican Pediatrics, Llc is a Pediatric Nurse Practitioner based in Homer, LA and is specialized in Pediatrics. Pelican Pediatrics, Llc practices in Homer, LA. The NPI Number for Pelican Pediatrics, Llc is 1184053340 and holds a License No. 2203781980 (Louisiana).

The current practice location address for Pelican Pediatrics, Llc is 911 W Main St, Homer, LA and can be reached out via phone at 318-927-3255 and via fax at 318-927-3257.

Location: 911 W Main St, Homer, LA, 71040-3300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184053340
Provider Name
Pelican Pediatrics, Llc
Credential
Provider Entity Type
Organization
Address
911 W Main St, Homer, LA, 71040-3300
Phone Number
318-927-3255
Fax Number
318-927-3257
Provider Enumeration Date
11/07/2013
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1325295 05 LA
institution
Provider Business Practice Location Address Details
Address
911 W Main St
City
Homer
State
Louisiana
Zip
71040-3300
Phone Number
318-927-3255
Fax Number
318-927-3257
person
Provider Business Mailing Address Details
Address
911 W Main St
City
Homer
State
Louisiana
Zip
71040-3300
Phone Number
318-927-3255
Fax Number
318-927-3257
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
APO5536 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
2203781980 (Louisiana)
Definition
Definition to come...
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