Provider Type: Physician Assistants & Advanced Practice Nursing Providers
Provider Classification: Nurse Practitioner
Provider Specialization: Family
Address: 200 Winterpark Dr
West Monroe, LA 71292-1106
Phone: (318) 396-9712
Fax: (180) 051-8423
Authorized Official: Mrs. Davis, Diane Privitor, APRN, FNP-C
Authorized Official Position: Owner
Authorized Official Phone: (318) 396-9712

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