Healthcare Provider Details

I. General information

NPI: 1942589692
Provider Name (Legal Business Name): NICOLE ELIZABETH LAICHE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NICOLE LAICHE PAILLE APRN

II. Dates (important events)

Enumeration Date: 08/12/2011
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 E ASCENSION COMPLEX BLVD
GONZALES LA
70737-4265
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 225-743-2445
  • Fax: 225-450-1150
Mailing address:
  • Phone: 225-743-2445
  • Fax: 225-765-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP06579
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP06579
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: