Individual
MISS NICOLE ANNEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 GREENLEAVES BLVD, MANDEVILLE, LA 70448-7018
(855) 300-7525
Mailing address
109 MAGNOLIA CIR, NATCHITOCHES, LA 71457-5260
(337) 366-7636
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN137829
LA
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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