Individual
DR. NICOLE PINO HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
435 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 234-3344
(337) 234-3352
Mailing address
435 HEYMANN BLVD, LAFAYETTE, LA 70503-2616
(337) 234-3344
(337) 234-3352
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.206054
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043121
CDS
LA
01
—
1659688489
GROUP NPI
LA
05
—
1965073
—
LA
01
—
206054
LICENSE
LA
01
—
304417YJOA
MEDICARE GRP MEMBER PTAN
LA
Enumeration date
03/27/2009
Last updated
03/07/2023
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