Genusa, Carrie G

Genusa, Carrie G is an individual health care provider with primary practice located at 5328 Cypress St , West Monroe LA 71291-7506. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Genusa, Carrie G can be contacted via phone (318) 966-1640.

Contact Information

Primary practice address
5328 Cypress St West Monroe LA 71291-7506
Phone: (318) 966-1640
Fax: (318) 966-1641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP03872 Louisiana

Profile Details

NPI number 1710928643
LBN Legal business name Genusa, Carrie G
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Dec 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710928643 NPPES
Louisiana MEDICAID 1105180

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