Individual
MRS. NICHOLE GORDON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1200 HOSPITAL DR STE 4, OPELOUSAS, LA 70570-6552
(337) 948-7090
Mailing address
1565 S MARKET ST, OPELOUSAS, LA 70570-4813
(337) 351-8956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
203738
LA
Other
Enumeration date
02/08/2019
Last updated
01/12/2022
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