=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891977369
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRUE CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/27/2007
-----------------------------------------------------
Last Update Date | 09/05/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20959 ANDERSON RD
-----------------------------------------------------
City | ZACHARY
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70791-7915
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-588-3209
-----------------------------------------------------
Fax | 225-658-5487
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 20959 ANDERSON RD
-----------------------------------------------------
City | ZACHARY
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70791-7915
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-367-8174
-----------------------------------------------------
Fax | 225-658-5487
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FAMILY NURSE PRACTITIONER
-----------------------------------------------------
Name | MRS. MARGARET SNOWDEN EVANS
-----------------------------------------------------
Credential | APRN-BC FNP
-----------------------------------------------------
Telephone | 225-367-8174
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 364SF0001X
-----------------------------------------------------
Taxonomy Name | Family Health Clinical Nurse Specialist
-----------------------------------------------------
License Number | AP082678
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------