Individual
MRS. KAYLIE MARIE MICELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1415 TULANE AVE STE 5501, NEW ORLEANS, LA 70112-2600
(985) 892-7070
(985) 892-7017
Mailing address
16065 LAMONTE DR, HAMMOND, LA 70403-1405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09155
LA
Other
Enumeration date
02/14/2017
Last updated
05/22/2019
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