Provider Demographics
NPI:1407262249
Name:KENT, NICOLA PIAZZA (APRN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:NICOLA
Middle Name:PIAZZA
Last Name:KENT
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:MISS
Other - First Name:NICOLA
Other - Middle Name:SILVANA
Other - Last Name:PIAZZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP
Mailing Address - Street 1:707 S VIENNA ST
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-5845
Mailing Address - Country:US
Mailing Address - Phone:318-224-3044
Mailing Address - Fax:
Practice Address - Street 1:707 S VIENNA ST
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-5845
Practice Address - Country:US
Practice Address - Phone:318-224-3044
Practice Address - Fax:318-232-2978
Is Sole Proprietor?:No
Enumeration Date:2014-07-01
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07820363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily