Nightwater Health Of Louisiana, Inc | |
719 Okeefe Ave New Orleans LA 70113-1906 | |
(504) 381-4204 | |
Not Available |
Full Name | Nightwater Health Of Louisiana, Inc |
---|---|
Speciality | Internal Medicine |
Location | 719 Okeefe Ave, New Orleans, Louisiana |
Authorized Official Name and Position | Paul Ikemire (CMO) |
Authorized Official Contact | 5047173050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nightwater Health Of Louisiana, Inc 111 Water St Ste 4 Exeter NH 03833-2456 Ph: (504) 717-3050 | Nightwater Health Of Louisiana, Inc 719 Okeefe Ave New Orleans LA 70113-1906 Ph: (504) 381-4204 |
NPI Number | 1821742040 |
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Provider Enumeration Date | 02/07/2022 |
Last Update Date | 12/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821742040 | NPI | - | NPPES |
MD.205087 | Other | LA | LSMBE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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