ETERNITY HEALTH CARE CLINIC, LLC (NPI# 1548206436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548206436 |
| Entity Type | Organization |
| Organization Name | ETERNITY HEALTH CARE CLINIC, LLC |
| Practice Address |
1432 Fournet St Lake Charles LA 70601-2452 |
| Mailing Address |
Po Box 1962 Lake Charles LA 70602-1962 |
| Practice Telephone | 3374394220 |
| Practice Fax Number | 3374396351 |
| Mailing Telephone | 3374394220 |
| Mailing Fax Number | 3374396351 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. NONA MARIE LEDAY BRYANT (OWNER) |
| Authorized Official Telephone | 3374394220 |
| Authorized Official Credential | CNS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
RN050908 AP03651 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1106798 | 05 |
| Street Address |
1432 FOURNET ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326006701 | Nona L Bryant | Clinical Nurse Specialist | 1432 Fournet St, Lake Charles, LA 70601-2452 | 2006-05-03 |
| 1700978251 | M&m Family Clinic, Inc. | Clinical Nurse Specialist | 1432 Fournet St, Lake Charles, LA 70601-2452 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326006701 | Nona L Bryant | Clinical Nurse Specialist | 1432 Fournet St, Lake Charles, LA 70601-2452 | 2006-05-03 |
| 1700978251 | M&m Family Clinic, Inc. | Clinical Nurse Specialist | 1432 Fournet St, Lake Charles, LA 70601-2452 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549387 | Chloe Davidson Villavaso | Clinical Nurse Specialist | 1430 Tulane Ave # 8548, New Orleans, LA 70112-2632 | 2019-10-17 |
| 1306318738 | Louise D Billingsley | Clinical Nurse Specialist | 200 Tennessee Avenue, Hammond, LA 70402-0001 | 2018-12-25 |
| 1154325066 | Cynthia Crocker Benz | Clinical Nurse Specialist | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2005-06-08 |
| 1912353954 | Leatrice Shavonne Williams | Clinical Nurse Specialist | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2016-05-09 |
| 1821443052 | Hillary Helm Luminais | Clinical Nurse Specialist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2016-04-25 |
| 1336547702 | Jennilee D E St John | Clinical Nurse Specialist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2014-12-16 |
| 1801299540 | Margaret Redmond | Clinical Nurse Specialist | 1516 Jefferson Hwy, New Orleans, LA 70121-2429 | 2014-10-08 |
| 1710388848 | Kenesha Bradley | Clinical Nurse Specialist | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2014-09-08 |
| 1376960864 | Laura Kaiser | Clinical Nurse Specialist | 2390 West Congress, Lafayette, LA 70506 | 2014-03-24 |
| 1255762845 | Nicole Judice Jones | Clinical Nurse Specialist | 4224 Houma Blvd, Suite 530, Metairie, LA 70006-2933 | 2013-12-06 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on ETERNITY HEALTH CARE CLINIC, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.