Whalio Doctors

NPI 1558859892

Demetria Milford Ravare

Practitioner Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Alexandria, LA

Practice location

Address
1403 Metro Dr STE C1, Alexandria, LA 71301-3446
Phone
(318) 625-7467
Fax
(318) 625-7420

Registered specialties

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0807X Licence RN141179 (LA)

Registry record

NPI
1558859892
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Apr 2018
Record last updated
23 Apr 2018

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.