Nicole Laiche Paille, APRN | |
143 Highway 402, Suite 4, Napoleonville, LA 70390-2217 | |
(985) 369-1083 | |
(985) 369-1085 |
Full Name | Nicole Laiche Paille |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 143 Highway 402, Napoleonville, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942589692 | NPI | - | NPPES |
2166000 | Medicaid | LA | |
02573521 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP06579 (Louisiana) | Primary |
Entity Name | Our Lady Of The Lake Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Mailing Address | Practice Location Address |
---|---|
Nicole Laiche Paille, APRN 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (985) 369-1083 | Nicole Laiche Paille, APRN 143 Highway 402, Suite 4, Napoleonville, LA 70390-2217 Ph: (985) 369-1083 |
Mrs. Tara Mcclanahan Martinez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 141 Highway 402, Napoleonville, LA 70390 Phone: 985-369-6027 Fax: 985-369-7656 | |
Miss Wanda N. Jefferson Wilson, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 154 Highway 1008, Napoleonville, LA 70390 Phone: 985-369-1880 Fax: 985-369-9191 | |
Mrs. Sharee D Besson, APRN-N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Highway 402, Suite 4, Napoleonville, LA 70390 Phone: 985-369-3600 Fax: 985-369-1085 |