Individual
MILLICENT B VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1214 COOLIDGE STREET, LAFAYETTE, LA 70505
(337) 289-7991
Mailing address
1214 COOLIDGE STREET, LAFAYETTE, LA 70505
(337) 289-7991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN113036-AP05731
LA
Other
Enumeration date
03/12/2009
Last updated
11/07/2011
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