Individual
MICHELLE M COMBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5800
(985) 785-5811
Mailing address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5800
(985) 785-5811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2006008070
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000361
—
LA
Enumeration date
11/01/2006
Last updated
01/06/2011
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