Individual
DR. NICOLE ELAINE FISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7777 HENNESSY BLVD STE 211, BATON ROUGE, LA 70808-4365
(225) 765-7163
(225) 765-7164
Mailing address
7777 HENNESSY BLVD STE 211, BATON ROUGE, LA 70808-4365
(225) 765-7163
(225) 765-7164
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO.000464
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
11/27/2011
Last updated
03/17/2018
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