MEDICARE: ELIZABETH VERRET FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	219482	LA

General Provider Information

NPI Number	:	1386228674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH VERRET FNP

Provider Business Mailing Address
First Line	:	302 HACKER ST
Second Line	:
City	:	NEW IBERIA
State	:	LA
Zip	:	70560-4508
Country	:	US
Telephone Number	:	337-330-2576
Fax Number	:	337-417-9909

Provider Business Practice Location Address
First Line	:	602 HAIFLEIGH ST
Second Line	:
City	:	FRANKLIN
State	:	LA
Zip	:	70538-3731
Country	:	US
Telephone Number	:	337-471-1161
Fax Number	:	337-345-4128

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2021
Last Update Date	:	10/31/2025

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