| |
2758 Hudson Pl New Orleans LA 70131-3856 | |
(504) 610-7459 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 2758 Hudson Pl, New Orleans, Louisiana |
Authorized Official Name and Position | Paula Bland (FAMILY NURSE PRACTITIONER) |
Authorized Official Contact | 5046107459 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2758 Hudson Pl New Orleans LA 70131-3856 Ph: (504) 610-7459 | 2758 Hudson Pl New Orleans LA 70131-3856 Ph: (504) 610-7459 |
NPI Number | 1407398993 |
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Provider Enumeration Date | 11/15/2016 |
Last Update Date | 11/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407398993 | NPI | - | NPPES |
2158741 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | AP06616 (Louisiana) | Primary |
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