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Individual

ALISON BORDELON NOLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, MN, FNP-C

Contact information

Practice address
7015 HIGHWAY 190 EAST SERVICE RD, SUITE 200, COVINGTON, LA 70433-4960
(985) 234-3000
Mailing address
7015 HIGHWAY 190 EAST SERVICE RD, SUITE 200, COVINGTON, LA 70433-4960
(985) 234-3000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN089739 AP04522
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1468835
LA
Enumeration date
06/17/2005
Last updated
11/14/2011
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