NPI 1003684549

Kaitlyn Verret Ellender

Practitioner Inpatient Obstetric Registered Nurse Broussard, LA

Practice location

Address: 113 Spanish Moss Ln, Broussard, LA 70518-7739
Phone: (985) 714-2181

Registered specialties

Inpatient Obstetric Registered Nurse Primary

Nursing Service Providers Taxonomy 163WX0003X Licence 205536 (LA)

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Registry record

NPI: 1003684549
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2023
Record last updated: 14 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.