Individual
MAITLAND FRILOT DEGENOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1401 FOUCHER ST, ICU, NEW ORLEANS, LA 70115-3678
(504) 210-4301
Mailing address
3600 PRYTANIA ST STE 35, NEW ORLEANS, LA 70115-3678
(504) 897-7197
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
212549
LA
363LF0000X
Family Nurse Practitioner
212549
LA
Other
Enumeration date
06/02/2020
Last updated
03/07/2023
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