Individual
NICKY CULOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC, FNP-BC
Contact information
Practice address
552 KRISTIAN CT, MADISONVILLE, LA 70447-3716
(504) 858-6335
Mailing address
552 KRISTIAN CT, MADISONVILLE, LA 70447-3716
(504) 858-6335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP232356
LA
363LA2100X
Acute Care Nurse Practitioner
AP232356
LA
363LF0000X
Family Nurse Practitioner
AP232356
LA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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