-- LISA RUSSO AUTHEMENT -- MSN-APRN
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1417143249- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MSN-APRN
- Status
- Active
Contact & Location
- Address
- 911 VERRET ST, HOUMA, LA, 703604637
- Phone
- (985) 876-7388
- Fax
- (985) 872-2878
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: LA #AP05301
Registered Nurse
License: LA #RN078449