Individual
MRS. NICOLE MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1900 W GAUTHIER RD, LAKE CHARLES, LA 70605-7170
(337) 480-7050
(337) 480-7051
Mailing address
6445 SWEETLEAF CT, LAKE CHARLES, LA 70605-0294
(337) 802-0132
(337) 480-7051
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN096891
LA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP04599
LA
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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