Individual
VICKIE A MABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
500 RUE DE LA VIE ST, STE 100, BATON ROUGE, LA 70817-5126
(225) 201-2000
Mailing address
500 RUE DE LA VIE ST, STE 100, BATON ROUGE, LA 70817-5126
(225) 201-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03727
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4C240C486
—
LA
Enumeration date
06/14/2006
Last updated
09/27/2012
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