Mrs. Lisa Pena Miller
Nurse Practitioner - Community Health
2390 W Congress St
Lafayette
, Louisiana 70506-4205
Mrs. Lisa Pena Miller
Nurse Practitioner - Community Health
2390 W Congress St
Lafayette
, Louisiana 70506-4205
(337) 326-0202
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Mrs. Lisa Pena Miller
- 414 Woodvale Ave
- Lafayette, LA
- Zip : 70503-3434
- Phone : (337) 326-0202
Second Address
- Mrs. Lisa Pena Miller
- 2390 W Congress St
- Lafayette, LA
- Zip : 70506-4205
- Fax : (337) 261-6795
- Phone : (337) 261-6759
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | AP05930 | LA |
National Provider Identifier
| NPI | 1093049173 |
|---|---|
| Provider Name | Mrs. Lisa Pena Miller |
| First Address | Lafayette, LA 70503-3434 |
| Second Address | Lafayette, LA 70506-4205 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2009 |
| Last Update Date | 06/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.