Individual
KAITLYN MARICLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 HOSPITAL DR, OAKDALE, LA 71463-3034
(318) 335-0260
(318) 335-3356
Mailing address
543 HIGHWAY 462, PITKIN, LA 70656-2613
(318) 290-8203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN160492
LA
363LF0000X
Family Nurse Practitioner
Primary
241323
LA
Other
Enumeration date
04/16/2025
Last updated
06/05/2025
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