Provider Demographics
NPI:1033676234
Name:ORMSBY, CARRIE (FNP)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:ORMSBY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:CALLAHAN
Other - Last Name:TREVILLION
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:465 HIGHWAY 1183
Mailing Address - Street 2:
Mailing Address - City:SIMMESPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71369-2309
Mailing Address - Country:US
Mailing Address - Phone:318-447-0082
Mailing Address - Fax:
Practice Address - Street 1:800 S 3RD ST
Practice Address - Street 2:
Practice Address - City:LEESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446-4750
Practice Address - Country:US
Practice Address - Phone:337-404-4075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-23
Last Update Date:2019-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAF02191176363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily