Keiffer Bengie Wyble
Nurse Practitioner Nurse Practitioner - Gerontology
2730 Ambassador Caffery Pkwy
Lafayette
, Louisiana 70506
Keiffer Bengie Wyble
Nurse Practitioner Nurse Practitioner - Gerontology
2730 Ambassador Caffery Pkwy
Lafayette
, Louisiana 70506
(337) 981-4694
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Keiffer Bengie Wyble
- 2730 Ambassador Caffery Pkwy
- Lafayette, LA
- Zip : 70506-5939
- Fax : (337) 981-4694
- Phone : (337) 988-1585
Second Address
- Keiffer Bengie Wyble
- 2730 Ambassador Caffery Pkwy
- Lafayette, LA
- Zip : 70506
- Fax : (337) 981-4694
- Phone : (337) 988-1585
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FAQs
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Is Keiffer Bengie Wyble a sole practitioner?
Is Keiffer Bengie Wyble accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP09352 | LA |
| N | 363LG0600X | Nurse Practitioner - Gerontology | AP09352 | LA |
National Provider Identifier
| NPI | 1083067144 |
|---|---|
| Provider Name | Keiffer Bengie Wyble |
| First Address | Lafayette, LA 70506-5939 |
| Second Address | Lafayette, LA 70506 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2016 |
| Last Update Date | 08/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2468685 | (05) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.