Individual
STACIE B MIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
100 LIVE OAK ST, BALDWIN, LA 70514-0000
(337) 923-7045
(337) 923-4007
Mailing address
1097 NORTHWEST BLVD, FRANKLIN, LA 70538-3407
(337) 923-7045
(337) 923-4007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN097848-AP05867
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1810291
—
LA
Enumeration date
08/14/2009
Last updated
01/20/2015
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