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Individual

NICOLE ISAAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11120 N BAYOU VIEW DR, GONZALES, LA 70737-6560
(225) 590-6821
Mailing address
11120 N BAYOU VIEW DR, GONZALES, LA 70737-6560

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
117888
LA
163WC0400X
Case Management Registered Nurse
117888
LA
163WD0400X
Diabetes Educator Registered Nurse
117888
LA
163WG0000X
General Practice Registered Nurse
117888
LA
163WM0705X
Medical-Surgical Registered Nurse
117888
LA

Other

Enumeration date
02/09/2017
Last updated
02/09/2017
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