NPI | 1740554021 |
---|---|
Entity Type | Organization |
Authorized Contact | DEANNA QUINN Nurse Practitioner 504-319-1519 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA APO4524) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA APO6145) |
Enumeration Date | 2012-03-03 |
Last Update Date | 2012-03-03 |