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MICA MCDANIEL FNP-C, LLC
NPI 1033617071
Nurse Practitioner - Family in Deridder, LA

Active since January 24, 2018
1420 BLANKENSHIP DR, DERIDDER, LA 70634(337) 460-9472 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mica Mcdaniel Fnp-c, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICA MCDANIEL FNP-C, LLC (NPI 1033617071) is a healthcare organization registered as a family in Deridder, Louisiana and active in the NPI registry since January 2018. The organization lists Mica Mcdaniel, Owner / Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1033617071
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMICA MCDANIEL FNP-C, LLC
Location Address1420 BLANKENSHIP DRDeridder, LA 70634
Mailing AddressPo Box 276Elizabeth, LA 70638-0276 · (318) 308-4447
Phone(337) 460-9472
Organization SubpartNo
Authorized OfficialMica McdanielOwner / Authorized Official · (318) 308-4447
Enumeration DateJanuary 24, 2018
Last NPPES UpdateMay 17, 2018
✔ NPI 1033617071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in LA · RN088334
1420 BLANKENSHIP DR, Deridder, LA 70634
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DERIDDER RETIREMENT & REHABILITATION CENTER, LLC
Skilled Nursing Facility
1420 BLANKENSHIP DR
DERIDDER, LA 70634
Beauregard Parish (337) 463-9022

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mica Mcdaniel Fnp-C, LLC's NPI number?

The NPI number for Mica Mcdaniel Fnp-C, LLC is 1033617071. It was assigned to this organization in the NPPES registry on January 24, 2018.

Where is Mica Mcdaniel Fnp-C, LLC located?

Mica Mcdaniel Fnp-C, LLC is located at 1420 Blankenship Dr, Deridder, LA 70634. The listed phone number is (337) 460-9472.

What is Mica Mcdaniel Fnp-C, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mica Mcdaniel Fnp-C, LLC was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.