ETERNITY HEALTH CARE CLINIC, LLC


Address: 1432 Fournet St, Lake Charles, LA 70601-2452
Phone: 3374394220

ETERNITY HEALTH CARE CLINIC, LLC (NPI# 1548206436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548206436
Entity Type Organization
Organization Name ETERNITY HEALTH CARE CLINIC, LLC
Practice Address 1432 Fournet St
Lake Charles
LA 70601-2452
Mailing Address Po Box 1962
Lake Charles
LA 70602-1962
Practice Telephone 3374394220
Practice Fax Number 3374396351
Mailing Telephone 3374394220
Mailing Fax Number 3374396351
Enumeration Date 2006-06-21
Last Update Date 2020-08-22
Authorized Official Name MRS. NONA MARIE LEDAY BRYANT (OWNER)
Authorized Official Telephone 3374394220
Authorized Official Credential CNS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
RN050908 AP03651 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1106798 05

Office Location

Street Address 1432 FOURNET ST
City LAKE CHARLES
State LA
Zip Code 70601-2452

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326006701 Nona L Bryant Clinical Nurse Specialist 1432 Fournet St, Lake Charles, LA 70601-2452 2006-05-03
1700978251 M&m Family Clinic, Inc. Clinical Nurse Specialist 1432 Fournet St, Lake Charles, LA 70601-2452 2006-09-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144833872 Fresenius Medical Care Sulphur, LLC Clinic/Center 330 Chavanne Street, Lake Charles, LA 70601 2020-08-24
1174158844 Andrea Cormier Peer Specialist 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2020-03-03
1588297303 Vivian Claire Miller Monceaux Chiropractor 780 Bayou Pines East Drive, Lake Charles, LA 70601 2020-02-20
1568001014 Swla Center for Health Services Clinic/Center 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 2020-01-02
1417512070 Ryan Nathaniel Vaisler Student in an Organized Health Care Education/Training Program 1525 Oak Park Blvd., Lake Charles, LA 70601 2019-05-08
1336600675 Hoh Palliative Care, LLC Family Medicine 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 2019-03-28
1073079026 Alawrass LLC Pharmacy 803 E Prien Lake Rd, Lake Charles, LA 70601 2019-02-14
1861962722 Ellaweena Woods Counselor 1409 Kirkman St., Lake Charles, LA 70601 2018-12-04
1770051963 Hanna Marie Rodriguez Counselor 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2018-11-06
1023585213 Shandora Druilhet Case Manager/Care Coordinator 751 E Bayou Pines, Lake Charles, LA 70601 2018-10-26
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Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326006701 Nona L Bryant Clinical Nurse Specialist 1432 Fournet St, Lake Charles, LA 70601-2452 2006-05-03
1700978251 M&m Family Clinic, Inc. Clinical Nurse Specialist 1432 Fournet St, Lake Charles, LA 70601-2452 2006-09-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912549387 Chloe Davidson Villavaso Clinical Nurse Specialist 1430 Tulane Ave # 8548, New Orleans, LA 70112-2632 2019-10-17
1306318738 Louise D Billingsley Clinical Nurse Specialist 200 Tennessee Avenue, Hammond, LA 70402-0001 2018-12-25
1154325066 Cynthia Crocker Benz Clinical Nurse Specialist 1415 Tulane Ave, New Orleans, LA 70112-2600 2005-06-08
1912353954 Leatrice Shavonne Williams Clinical Nurse Specialist 1541 Kings Hwy, Shreveport, LA 71103-4228 2016-05-09
1821443052 Hillary Helm Luminais Clinical Nurse Specialist 1514 Jefferson Hwy, New Orleans, LA 70121-2429 2016-04-25
1336547702 Jennilee D E St John Clinical Nurse Specialist 1514 Jefferson Hwy, New Orleans, LA 70121-2429 2014-12-16
1801299540 Margaret Redmond Clinical Nurse Specialist 1516 Jefferson Hwy, New Orleans, LA 70121-2429 2014-10-08
1710388848 Kenesha Bradley Clinical Nurse Specialist 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 2014-09-08
1376960864 Laura Kaiser Clinical Nurse Specialist 2390 West Congress, Lafayette, LA 70506 2014-03-24
1255762845 Nicole Judice Jones Clinical Nurse Specialist 4224 Houma Blvd, Suite 530, Metairie, LA 70006-2933 2013-12-06
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Competitor

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City LAKE CHARLES
Zip Code 70601

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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