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Individual

MICHELLE R. NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7777 HENNESSY BLVD STE 612, BATON ROUGE, LA 70808-4366
(225) 769-5656
(225) 766-6996
Mailing address
7500 HENNESSY BLVD, BATON ROUGE, LA 70808-4339
(225) 768-1777

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06638
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2316206
LA
Enumeration date
09/13/2011
Last updated
04/28/2021
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