Individual
MICKEY ROSS DUOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, BC
Contact information
Practice address
3311 PRESCOTT RD STE 100, ALEXANDRIA, LA 71301-3917
(318) 442-3384
(318) 442-3385
Mailing address
3311 PRESCOTT RD STE 100, ALEXANDRIA, LA 71301-3917
(318) 442-3384
(318) 442-3385
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP05285
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023671
—
LA
Enumeration date
08/20/2007
Last updated
02/26/2021
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