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NICOLE LAICHE PAILLE APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1942589692

Individual Registrant:
 NICOLE LAICHE PAILLE APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
143 HIGHWAY 402 SUITE 4 NAPOLEONVILLE, LA 70390-2217 US
Tel: 985-369-1083  Fax: 985-369-1085

Contact information for business:
5959 S SHERWOOD FOREST BLVD  BATON ROUGE, LA 70816-6038 US
Tel: 225-765-5727  Fax: --

Registration Information:
NPI: 1942589692
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
LAAP06579

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
02573521MS05
2166000LA05




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