NICOLE RENEE MELANCON

COVINGTON, LA
NPI1285125880
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  AP10039)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: LA  AP10039)
Enumeration Date2018-05-21
Last Update Date2024-10-01
Business Address
NICOLE RENEE MELANCON NP
73015 LA 25 STE A
COVINGTON, LA 70435
Phone number: 985-400-5370
Mailing Address
NICOLE RENEE MELANCON NP
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698