Individual
NICOLE V MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
151 HILL ST, EUNICE, LA 70535-5845
(337) 457-7798
(337) 550-8020
Mailing address
801 POINCIANA AVE, MAMOU, LA 70554-2243
(337) 468-5261
(337) 468-3342
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9866R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1973041
—
LA
Enumeration date
10/24/2006
Last updated
07/08/2007
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