Individual
AIMEE DENISE OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3400 MEDICAL PARK DR STE B, MONROE, LA 71203-2300
(318) 387-6803
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71001434
IN
363LF0000X
Family Nurse Practitioner
Primary
AP09278
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200422460
—
IN
05
—
2452029
—
LA
Enumeration date
06/21/2006
Last updated
04/03/2020
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