Individual
MRS. MICHELLE MARIE CIVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
28050 WALKER SOUTH RD, WALKER, LA 70785-6047
(225) 664-2111
(225) 664-2888
Mailing address
28050 WALKER SOUTH RD, WALKER, LA 70785-6047
(225) 664-2111
(225) 664-2888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06133
LA
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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