Provider Demographics
NPI:1528674280
Name:ACADIANA WOUND & OSTOMY ON WHEELS
Entity type:Organization
Organization Name:ACADIANA WOUND & OSTOMY ON WHEELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADULT CLINICAL NURSE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-945-3949
Mailing Address - Street 1:218 DIVISION STREET
Mailing Address - Street 2:
Mailing Address - City:KROTZ SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70750
Mailing Address - Country:US
Mailing Address - Phone:337-564-5315
Mailing Address - Fax:504-326-6523
Practice Address - Street 1:218 DIVISION STREET
Practice Address - Street 2:
Practice Address - City:KROTZ SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70750
Practice Address - Country:US
Practice Address - Phone:337-564-5315
Practice Address - Fax:504-326-6523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty