Individual
MICA MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
119 HOSPITAL DR, OAKDALE, LA 71463-3034
(318) 335-0260
(318) 335-3356
Mailing address
PO BOX 276, ELIZABETH, LA 70638-0276
(318) 308-4447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
088334
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1722201
—
LA
Enumeration date
10/23/2006
Last updated
05/24/2021
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