| Elizabeth Ann Mouton, FNP | |
|
12880 Plank Rd, Baker, LA 70714-4909 | |
| (225) 774-7111 | |
| Not Available |
| Full Name | Elizabeth Ann Mouton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 12880 Plank Rd, Baker, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760905343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP09387 (Louisiana) | Primary |
| Entity Name | C & M Medical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710903059 PECOS PAC ID: 9436061553 Enrollment ID: O20050121000093 |
| Entity Name | Mark C Mouton Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760626170 PECOS PAC ID: 5597816207 Enrollment ID: O20090619000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ann Mouton, FNP 6943 Burtcliff Dr, Baton Rouge, LA 70818-6706 Ph: (337) 692-0660 | Elizabeth Ann Mouton, FNP 12880 Plank Rd, Baker, LA 70714-4909 Ph: (225) 774-7111 |
Dustin Allen Logue, ANP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 12902 Plank Rd, Baker, LA 70714 Phone: 225-369-7006 Fax: 225-774-2827 | |
Megan Mccoy Dale, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12902 Plank Rd, Baker, LA 70714 Phone: 225-774-0733 Fax: 225-774-7777 | |
Mrs. Mallory Bankston, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12880 Plank Rd, Baker, LA 70714 Phone: 225-774-7111 Fax: 225-774-7714 | |
Mrs. Kendra Paul Patrick, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4911 Groom Rd, Baker, LA 70714 Phone: 225-454-3744 Fax: 915-296-5612 | |
Oreal Perkins, N P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17511 Wisdom Dr, Baker, LA 70714 Phone: 225-335-2980 Fax: 225-306-1570 | |
Crissy Carrier Sharpe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6420 Groom Rd, Baker, LA 70714 Phone: 225-412-2781 | |
Hailey Mcmanus Murphy, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12902 Plank Rd, Baker, LA 70714 Phone: 225-774-0733 |