| Anointed Family Medicine, Llc | |
|
23845 Church St Plaquemine LA 70764-3307 | |
| (225) 687-2828 | |
| (225) 687-2885 |
| Full Name | Anointed Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 23845 Church St, Plaquemine, Louisiana |
| Authorized Official Name and Position | Andrea B Brown (PRESIDENT) |
| Authorized Official Contact | 2256872828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anointed Family Medicine, Llc 23845 Church St Plaquemine LA 70764-3307 Ph: (225) 687-2828 | Anointed Family Medicine, Llc 23845 Church St Plaquemine LA 70764-3307 Ph: (225) 687-2828 |
| NPI Number | 1629252069 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 03/27/2023 |
| Medicare PECOS PAC ID | 1355387119 |
|---|---|
| Medicare Enrollment ID | O20050701000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629252069 | NPI | - | NPPES |
| 1490474 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 022559 (Louisiana) | Primary |
| Provider Name | Sherletha Monique Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346672748 PECOS PAC ID: 6103046206 Enrollment ID: I20141010002310 |
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