| Latasha Grice, | |
|
4012 Avenue H, Lake Charles, LA 70615-5186 | |
| (337) 433-3785 | |
| Not Available |
| Full Name | Latasha Grice |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4012 Avenue H, Lake Charles, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619460870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP10159 (Louisiana) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP10159 (Louisiana) | Secondary |
| Entity Name | Hulin Urgent Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699049262 PECOS PAC ID: 6800051285 Enrollment ID: O20120710000537 |
| Entity Name | Hni Medical Services At Glenwood Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669962064 PECOS PAC ID: 0547518920 Enrollment ID: O20180801000659 |
| Mailing Address | Practice Location Address |
|---|---|
| Latasha Grice, 4012 Avenue H, Lake Charles, LA 70615-5186 Ph: (337) 433-3786 | Latasha Grice, 4012 Avenue H, Lake Charles, LA 70615-5186 Ph: (337) 433-3785 |
Grant Jonathan Ewing, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 524 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-491-7709 | |
Ms. Victoria Lee Skold, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1510 W Mcneese, Lake Charles, LA 70605 Phone: 337-478-3177 | |
Rebecca Ellen Godare Stein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-436-3813 Fax: 337-439-0214 | |
Darci Portie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 Fax: 337-549-6316 | |
Mrs. Ilea Nauts, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2770 3rd Ave Ste 120, Lake Charles, LA 70601 Phone: 337-494-4868 Fax: 337-494-4870 | |
Megan Leblanc Thibodeaux, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2005 Southwood Dr, Lake Charles, LA 70605 Phone: 337-562-2293 Fax: 337-562-0765 | |
Mrs. Cynthia Trahan Cox, APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 730 Tallow Rd, Lake Charles, LA 70607 Phone: 337-884-4498 |