Individual provider · Type 1 NPI
Lisa Pena Miller, ANP-C
Community Health Nurse Practitioner · Lafayette, LA
NPI number
1093049173
Active
Practice location
2390 W Congress St
Lafayette, LA 70506-4205
Fax (337) 261-6795
Mailing address
414 Woodvale Ave
Lafayette, LA 70503-3434
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Nurse Practitioner Primary | 363LC1500X | AP05930 (LA) |
Community Health Nurse Practitioner: Definition to come...
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About NPI 1093049173
Lisa Pena Miller, ANP-C's National Provider Identifier is 1093049173, issued on Sep 23, 2009. The primary taxonomy on file is Community Health Nurse Practitioner (363LC1500X), and the practice location is in Lafayette, LA. The record was last updated on Aug 6, 2021.