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Individual

NICOLE STOCKSTILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-A

Contact information

Practice address
7784 INNOVATION PARK DR, BATON ROUGE, LA 70820-7006
(225) 343-4232
(225) 343-4233
Mailing address
36298 E PINE GROVE CT, PRAIRIEVILLE, LA 70769-3466
(225) 288-0079

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
4389A
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12202657
CAQH
LA
Enumeration date
01/29/2008
Last updated
10/15/2024
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