NPI 1083067144

Keiffer Bengie Wyble, AGACNP

Practitioner Rehabilitation Clinical Nurse Specialist Lafayette, LA

Practice location

Address: 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506
Phone: (337) 988-1585
Fax: (337) 981-4694
Mailing address: 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5939

Registered specialties (3)

Rehabilitation Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SR0400X Licence AP09352 (LA)

Other Clinical Nurse Specialist providers in Louisiana →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence AP09352 (LA)

Other Nurse Practitioner providers in Louisiana →

Gerontology Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LG0600X Licence AP09352 (LA)

Registry record

NPI: 1083067144
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2016
Record last updated: 30 May 2024

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.