| NPI | 1134641665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN JAMES KRIEGER Authorized Official 504-606-7058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 902029) |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2017-09-11 |