| Miss Nicole Annee Miller, CRNA | |
|
200 Greenleaves Blvd, Mandeville, LA 70448-7018 | |
| (855) 300-7525 | |
| Not Available |
| Full Name | Miss Nicole Annee Miller |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 200 Greenleaves Blvd, Mandeville, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649743063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN137829 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Youngs Professional Services Llc | 2163524992 | 218 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Nicole Annee Miller, CRNA 109 Magnolia Cir, Natchitoches, LA 71457-5260 Ph: (337) 366-7636 | Miss Nicole Annee Miller, CRNA 200 Greenleaves Blvd, Mandeville, LA 70448-7018 Ph: (855) 300-7525 |
John Peter Tobin Iii, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Victoria Ln, Mandeville, LA 70471 Phone: 985-502-6609 | |
Raymond Joseph Chapman, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1429 Lamarque St, Mandeville, LA 70448 Phone: 985-807-4511 | |
Jenna White, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1852 Valmont St, Mandeville, LA 70448 Phone: 512-963-1635 | |
Paula G Fontana, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 235 Saint Ann Dr, Suite 2, Mandeville, LA 70471 Phone: 985-727-7275 Fax: 985-727-7915 | |
Carolyn Applebaum, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 235 Saint Ann Dr, Mandeville, LA 70471 Phone: 985-727-7275 | |
Darryl Mark Lodato, APRN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 235 Saint Ann Dr, Suite 2, Mandeville, LA 70471 Phone: 985-727-7275 Fax: 985-727-7915 |