Dr KATIE BROOKE DESHOTEL is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015.
WOMEN'S MEDICAL AND SURGICAL CLINIC, INC.
805 CHERRY ST
MAMOU
LA
705542223
Tel: 3374682250
| Npi | 1205343183 |
| Pac Id | 4385905793 |
| Professional Enrollment Id | I20180228000146 |
| Last Name | DESHOTEL |
| First Name | KATIE |
| Middle Name | BROOKE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | WOMEN'S MEDICAL AND SURGICAL CLINIC, INC. |
| Group Practice Pac Id | 6406996602 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 805 CHERRY ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MAMOU |
| State | LA |
| Zip Code | 705542223 |
| Phone Number | 3374682250 |
| Hospital Affiliation Ccn 1 | 190025 |
| Hospital Affiliation Lbn 1 | SAVOY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 190167 |
| Hospital Affiliation Lbn 2 | MERCY REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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