NPI 1306023395
Mary E Severance, LPN
Practice location
- Address
- 242 Shamrock St Red River Addictions Complex, Pineville, LA 71306
- Phone
- (318) 484-6614
- Fax
- (318) 487-5703
- Mailing address
- PO Box 7118, Alexandria, LA 71306-0118
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1306023395
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jan 2008
- Record last updated
- 22 Jan 2008
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.