Dr NICOLE M RUNYAN-JOHANSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2018.
LUIS E ALVAREZ MD APMC
1100 ANDRE ST
SUITE 301
NEW IBERIA
LA
705632159
Tel: 3373649225
| Npi | 1225506678 |
| Pac Id | 5597001420 |
| Professional Enrollment Id | I20190114001006 |
| Last Name | RUNYAN-JOHANSON |
| First Name | NICOLE |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | LUIS E ALVAREZ MD APMC |
| Group Practice Pac Id | 5193761963 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 1100 ANDRE ST |
| Line 2 Street Address | SUITE 301 |
| Marker Of Address Line 2 Suppression | |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 705632159 |
| Phone Number | 3373649225 |
| Hospital Affiliation Ccn 1 | 190034 |
| Hospital Affiliation Lbn 1 | ABBEVILLE GENERAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 190002 |
| Hospital Affiliation Lbn 2 | LAFAYETTE GENERAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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