ALICE C BLUE APRN
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1477986255- Provider Type
- Individual Provider (NPI-1)
- Credentials
- APRN
- Status
- Active
Contact & Location
- Address
- 800 CHINABERRY DRIVE, BOSSIER CITY, LA, 71111
- Phone
- (318) 349-6774
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: LA #AP07412