Individual
MR. PAUL H NICOLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 LA RUE FRANCE, LAFAYETTE, LA 70508-3104
(337) 264-9787
(337) 264-9506
Mailing address
PO BOX 53566, LAFAYETTE, LA 70505-3566
(337) 264-9787
(337) 264-9506
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
03994
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1106437
—
LA
Enumeration date
06/09/2006
Last updated
07/13/2007
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