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FAMILY WELLNESS PRACTICE LLC

Primary Care

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Contact Information

FAMILY WELLNESS PRACTICE LLC
411 S PINE ST
DERIDDER, LA  70634-4839
 Phone: 337-462-6070
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Primary Care

 363LP2300X 50 Nurse Practitioner
 

Family

 363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for FAMILY WELLNESS PRACTICE LLC

NPI # 1720734841
LBN Legal business name FAMILY WELLNESS PRACTICE LLC
Authorized official BRENDA MAHAFFEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2022
Last updated 08/31/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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