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Nicole Dantzler

NPI 1063877702 · on the registry since 2015

Practice

Address
4306 S Grand St
Monroe, LA 71202
Phone
(318) 324-5441
Clinicians at this address
65

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
101YM0800X
171M00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana