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Nicole Isaac

NPI 1083152102 · on the registry since 2017

Practice

Address
11120 N Bayou View Dr
Gonzales, LA 70737
Phone
(225) 590-6821
Organisation at this address
Impact Health Management Solutions
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
163WC0400X
163WD0400X
163WG0000X
163WM0705X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-02-09

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