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MICA MCDANIEL FNP-C LLC NPI 1033617071


NPI Information

NPI: 1033617071
Provider Name: MICA MCDANIEL FNP-C, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1420 BLANKENSHIP DR
DERIDDER, LA
ZIP 70634
Phone: (337) 460-9472
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MICA MCDANIEL FNP-C, LLC is a family nurse practitioner in Deridder, LA. MICA MCDANIEL FNP-C, LLC NPI is 1033617071. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1420 BLANKENSHIP DR
DERIDDER, LA
ZIP 70634
Phone: (337) 460-9472

The provider's authorized official is Mica Mcdaniel .
The authorized official title is Owner / Authorized Official and has the following contact phone number (318) 308-4447.

The enumeration date for this NPI number is 1/24/2018 and was last updated on 5/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN088334LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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