Individual
NICOLE PERTUIT VERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15481 W CLUB DELUXE RD, HAMMOND, LA 70403-1466
(985) 543-4165
(985) 543-4171
Mailing address
15481 W CLUB DELUXE RD, HAMMOND, LA 70403-1466
(985) 543-4165
(985) 543-4171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN117578
LA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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