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Contact Information

IMPACT NETWORK, LLC
13636 HIGHLAND RD
BATON ROUGE, LA70810-5013
 Phone: 225-505-7104
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for IMPACT NETWORK LLC · (Female)

NPI # 1275087033
Status Active
Credentials
Entity Individual
Enumeration date 08/10/2016
Last updated 08/10/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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