Individual
JOSEPH R. NIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 MORRIS DRIVE, MINDEN, LA 71055
(318) 377-8260
(318) 377-9053
Mailing address
208 MORRIS DRIVE, MINDEN, LA 71055
(318) 377-8260
(318) 377-9053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26100
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053881
—
LA
05
—
158643001
—
AR
01
—
30799
LA CDS
—
01
—
E4940
AR STATE LICENSE
—
Enumeration date
02/10/2006
Last updated
03/07/2023
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