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Individual

MICHAEL MYLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
152 S FOSTER DR, BATON ROUGE, LA 70806-4100
(225) 993-1778
Mailing address
152 S FOSTER DR APT 37, BATON ROUGE, LA 70806-4148
(225) 993-1778

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NA
LA

Other

Enumeration date
12/18/2023
Last updated
12/18/2023
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