| Susannah Holt, | |
|
1121 Polk St, Mansfield, LA 71052-2524 | |
| (318) 575-2143 | |
| Not Available |
| Full Name | Susannah Holt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1121 Polk St, Mansfield, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801624093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 208255 (Louisiana) | Primary |
| Entity Name | Calcasieu Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768 |
| Mailing Address | Practice Location Address |
|---|---|
| Susannah Holt, Po Box 306416, Nashville, TN 37230-6416 Ph: () - | Susannah Holt, 1121 Polk St, Mansfield, LA 71052-2524 Ph: (318) 575-2143 |
Edwina Elrod Eley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7356 Highway 509, Mansfield, LA 71052 Phone: 318-871-1633 Fax: 318-871-1677 | |
Carrie Jo Moton, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 Washington Ave, Mansfield, LA 71052 Phone: 318-301-6627 Fax: 318-872-7048 | |
Ms. Naishia Lashay Pipkins, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Jefferson St, Mansfield, LA 71052 Phone: 318-872-2700 Fax: 318-872-6214 |