Individual
MRS. SUSAN EVA HARRISON MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1514 JEFFERSON HWY FL 1, JEFFERSON, LA 70121-2429
(504) 842-4015
Mailing address
420 40TH ST, NEW ORLEANS, LA 70124-1532
(504) 453-0540
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09243
LA
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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