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Individual

DIANE MIPRO GRIENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
13348 COURSEY BLVD STE D, BATON ROUGE, LA 70816-4970
(225) 442-7939
(225) 777-1040
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09582
LA
363LF0000X
Family Nurse Practitioner
AP131607
TX

Other

Enumeration date
08/17/2017
Last updated
08/13/2021
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