ZYDECO HEALTHCARE LLC
NPI 1083223457
Nurse Practitioner - Family in Monroe, LA
Active since July 30, 2020
About Zydeco Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZYDECO HEALTHCARE LLC (NPI 1083223457) is a healthcare organization registered as a family in Monroe, Louisiana and active in the NPI registry since July 2020. The organization lists Lacresha Earley, Co-owner, as its authorized official.
NPPES Registry Identity
NPI1083223457
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameZYDECO HEALTHCARE LLC
Location Address301 WINKLER WAYMonroe, LA 71203-6530
Mailing Address301 Winkler WayMonroe, LA 71203-6530 · (318) 884-5952
Phone(318) 538-1393
Organization SubpartNo
Authorized OfficialLacresha EarleyCo-owner · (318) 538-1393
Enumeration DateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
✔ NPI 1083223457 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
301 WINKLER WAY, Monroe, LA 71203
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083223457, enumerated as an "organization" on July 30, 2020.
The provider is located at 301 WINKLER WAY MONROE, LA 71203 and the phone number is (318) 538-1393.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
