Mandy Gayle Keown
Nurse Practitioner - Family Medicine
200 La Rue France 201
Lafayette
, Louisiana 70508-3104
Mandy Gayle Keown
Nurse Practitioner - Family Medicine
200 La Rue France 201
Lafayette
, Louisiana 70508-3104
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mandy Gayle Keown
- 405 Breaux Rd
- Lafayette, LA
- Zip : 70507-2596
- Phone :
Second Address
- Mandy Gayle Keown
- 200 La Rue France 201
- Lafayette, LA
- Zip : 70508-3104
- Phone : (337) 235-9355
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | AP08728 | LA |
National Provider Identifier
| NPI | 1003276064 |
|---|---|
| Provider Name | Mandy Gayle Keown |
| First Address | Lafayette, LA 70507-2596 |
| Second Address | Lafayette, LA 70508-3104 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2016 |
| Last Update Date | 02/03/2016 |
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.