Individual
CAROL MICHELE ALYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN FNP
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1436
(985) 230-1683
(985) 230-6652
Mailing address
2103 GAUSE BLVD E, SLIDELL, LA 70461-4229
(985) 643-5743
(337) 494-2928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08080
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629060744
—
LA
05
—
2427610
—
LA
Enumeration date
08/16/2005
Last updated
04/04/2022
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