Individual
MISS Y'MINE MICHAEL MCCLANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
106 MIMOSA ST, AMITE, LA 70422-2136
(985) 247-2411
(844) 856-3736
Mailing address
59101 AMBER ST, SLIDELL, LA 70461-3708
(985) 646-1580
(888) 863-4274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206489
LA
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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