Individual
SHAMBREL NICOLE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5760 MONTICELLO DR, SAINT GABRIEL, LA 70776-4412
(225) 642-9676
Mailing address
5760 MONTICELLO DR, SAINT GABRIEL, LA 70776-4412
(225) 642-9676
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
210685
LA
Other
Enumeration date
01/24/2020
Last updated
04/01/2022
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