Healthcare Provider Details

I. General information

NPI: 1376764902
Provider Name (Legal Business Name): KAYA ESCHETE NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 DUNN STREET
HOUMA LA
70360
US

IV. Provider business mailing address

P.O. BOX 66
HOUMA LA
70631-0066
US

V. Phone/Fax

Practice location:
  • Phone: 985-872-0423
  • Fax: 985-872-6600
Mailing address:
  • Phone: 985-872-0423
  • Fax: 985-872-6600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP03095
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: