Healthcare Provider Details
I. General information
NPI: 1801750690
Provider Name (Legal Business Name): THE AESTHETIC STUDIO
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3266 DRUSILLA LN # A6
BATON ROUGE LA
70809-1862
US
IV. Provider business mailing address
40073 MADDIE DR
PRAIRIEVILLE LA
70769-6810
US
V. Phone/Fax
- Phone: 985-320-5537
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAROLINE
SPIER
Title or Position: OWNER
Credential: APRN, FNP-C
Phone: 985-320-5537