| Diana L. Corley, Fnp, Llc | |
|
1015 Hwy 107 Centerpoint LA 71323 | |
| (318) 623-9578 | |
| (318) 625-0683 |
| Full Name | Diana L. Corley, Fnp, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1015 Hwy 107, Centerpoint, Louisiana |
| Authorized Official Name and Position | Diana Corley (OWNER/PROVIDER) |
| Authorized Official Contact | 3184094125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diana L. Corley, Fnp, Llc 117 Cannonball Dr Pineville LA 71360-9401 Ph: (318) 623-9578 | Diana L. Corley, Fnp, Llc 1015 Hwy 107 Centerpoint LA 71323 Ph: (318) 623-9578 |
| NPI Number | 1124659164 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 05/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124659164 | NPI | - | NPPES |
| 2319213 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |