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NPI Code Detail

MEDICARE: EMILIE FIANDT

MEDICARE: EMILIE FIANDT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP09154LA

General Provider Information

NPI Number : 1629509518
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILIE FIANDT
Provider Business Mailing Address
First Line : 11055 SHOE CREEK DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70818-4022
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11055 SHOE CREEK DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70818-4022
Country : US
Telephone Number : 225-261-4493
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2017
Last Update Date : 03/23/2017

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Directions to “ EMILIE FIANDT ” Practice Location

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