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NPI Code Detail

MEDICARE: MRS. WENDY ANN NAVARRO NURSE PRACTITIONER

MEDICARE: MRS. WENDY ANN NAVARRO NURSE PRACTITIONER
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
1363LF0000XFamily Nurse PractitionerAP08688LA

General Provider Information

NPI Number : 1821457987
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WENDY ANN NAVARRO NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 1520 GAUSE BLVD
Second Line :
City : SLIDELL
State : LA
Zip : 70458-2208
Country : US
Telephone Number : 985-788-4646
Fax Number :
Provider Business Practice Location Address
First Line : 1520 GAUSE BLVD
Second Line :
City : SLIDELL
State : LA
Zip : 70458-2208
Country : US
Telephone Number : 985-788-4646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2016
Last Update Date : 02/17/2016

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Directions to “ MRS. WENDY ANN NAVARRO NURSE PRACTITIONER” Practice Location

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