Individual
MIA PORTIER OUBRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6615 PERKINS RD, BATON ROUGE, LA 70808-4261
(225) 819-1190
(225) 819-1199
Mailing address
8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
(225) 237-1754
(225) 237-1722
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06968
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00531845
—
MS
05
—
2364766
—
LA
Enumeration date
11/05/2012
Last updated
02/19/2016
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