Individual
DR. JOHN F NITSCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4228 HOUMA BLVD, SUITE 600B, METAIRIE, LA 70006-2933
(504) 454-2191
(504) 378-1838
Mailing address
155 ELM ST, MANDEVILLE, LA 70448-4575
(985) 626-5537
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
014479
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004080094
AETNA
LA
05
—
1329894
—
LA
01
—
78820
COVENTRY
LA
Enumeration date
07/27/2005
Last updated
04/08/2013
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