OrganizationActive
Family Wellness Practice LLC
NPI 1720734841 · Primary Care Nurse Practitioner · Deridder, LA
Provider details
- NPI number
- 1720734841
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Brenda Mahaffey, Owner
Mailing address
411 S Pine St
Deridder, LA 70634-4839
Registry dates
- Enumerated
- 2022-02-28
- Last updated
- 2022-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.