Individual
MRS. MARYAM NEDAL SCIMIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1211 COOLIDGE BLVD STE 300, LAFAYETTE, LA 70503-2637
(337) 289-0042
Mailing address
1211 COOLIDGE BLVD STE 300, LAFAYETTE, LA 70503-2637
(337) 289-0042
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN143418
LA
363LF0000X
Family Nurse Practitioner
Primary
202300
LA
Other
Enumeration date
10/09/2018
Last updated
06/11/2019
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