person
Ms. Susan E Miedecke, NP
Family Nurse Practitioner in Scott, Louisiana
NPI 1821103870

Susan E Miedecke is a Family Nurse Practitioner based in Lafayette, LA and is specialized in Family. Susan E Miedecke practices in Scott, LA and has the professional credentials of NP. The NPI Number for Susan E Miedecke is 1821103870 and holds a License No. 03861 (Louisiana).

The current practice location address for Susan E Miedecke is 5935 Cameron St, Scott, LA and can be reached out via phone at 337-264-0326 and via fax at 337-264-0328.

Location: 5935 Cameron St, Scott, LA, 70505-2900
person
Provider Profile Details
NPI Number
1821103870
Provider Name
Susan E Miedecke
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
5935 Cameron St, Scott, LA, 70505-2900
Phone Number
337-264-0326
Fax Number
337-264-0328
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1102652 05 LA
institution
Provider Business Practice Location Address Details
Address
5935 Cameron St
City
State
Zip
70583-5182
Phone Number
337-264-0326
Fax Number
337-264-0328
person
Provider Business Mailing Address Details
Address
5935 Cameron St
City
State
Zip
70583-5182
Phone Number
337-264-0326
Fax Number
337-264-0328
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
03861 (Louisiana)
Definition
Definition to come...
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