Provider Demographics
NPI:1598100653
Name:ADVANCED PRACTICE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ADVANCED PRACTICE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:W
Authorized Official - Last Name:MELDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-443-8792
Mailing Address - Street 1:2230 S MACARTHUR DR
Mailing Address - Street 2:SUITE 9
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-3057
Mailing Address - Country:US
Mailing Address - Phone:318-443-8792
Mailing Address - Fax:
Practice Address - Street 1:2230 S MACARTHUR DR
Practice Address - Street 2:SUITE 9
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3057
Practice Address - Country:US
Practice Address - Phone:318-443-8792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty