| Millennial Advanced Practice Consultants | |
|
6534 Blue Rose Dr Baton Rouge LA 70817-4117 | |
| (225) 244-0508 | |
| Not Available |
| Full Name | Millennial Advanced Practice Consultants |
|---|---|
| Speciality | Clinic/Center |
| Location | 6534 Blue Rose Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Dwone Marshall (OWNER) |
| Authorized Official Contact | 2252440508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Millennial Advanced Practice Consultants 6534 Blue Rose Dr Baton Rouge LA 70817-4117 Ph: (225) 244-0508 | Millennial Advanced Practice Consultants 6534 Blue Rose Dr Baton Rouge LA 70817-4117 Ph: (225) 244-0508 |
| NPI Number | 1689444937 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/08/2024 |
| Medicare PECOS PAC ID | 6608383690 |
|---|---|
| Medicare Enrollment ID | O20250724004358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689444937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Dwone L Marshall-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164791802 PECOS PAC ID: 8022272533 Enrollment ID: I20120613000622 |
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