Individual
KRISTINA IZABEL MIDENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15639 FERRELL AVE, BATON ROUGE, LA 70817-2414
(225) 810-1631
Mailing address
15639 FERRELL AVE, BATON ROUGE, LA 70817-2414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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