Provider Demographics
NPI:1134750730
Name:MILLET, ANNEMARIE LANDRY
Entity type:Individual
Prefix:MRS
First Name:ANNEMARIE
Middle Name:LANDRY
Last Name:MILLET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8326 KELWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-4803
Mailing Address - Country:US
Mailing Address - Phone:337-496-8432
Mailing Address - Fax:225-929-9740
Practice Address - Street 1:8326 KELWOOD AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4803
Practice Address - Country:US
Practice Address - Phone:337-496-8432
Practice Address - Fax:225-929-9740
Is Sole Proprietor?:No
Enumeration Date:2020-02-01
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist