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Individual

MRS. MICAH BOYETT PILCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.P.N.P.

Contact information

Practice address
2829 YOUREE DR STE 1, SHREVEPORT, LA 71104-3640
(318) 402-0131
(318) 409-0171
Mailing address
2787 BRADSHAW RD, GRAND CANE, LA 71032-6076
(318) 469-3083

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP07029
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1155694
APRN
TX
05
2314122
LA
01
AP07029
APRN
LA
01
TPAN2520
APRN
FL
Enumeration date
09/05/2012
Last updated
08/11/2024
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