Individual
NACOLE DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
633 PINEY RIDGE CIR, MADISONVILLE, LA 70447-3101
(504) 701-2875
Mailing address
633 PINEY RIDGE CIR, MADISONVILLE, LA 70447-3101
(504) 701-2875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08323
LA
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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