Individual
MS. ANNE FRADELLA FAVRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4200 HOUMA BLVD, 1ST FLOOR, METAIRIE, LA 70006
(504) 456-9199
(504) 891-0082
Mailing address
4200 HOUMA BLVD, 1ST FLOOR, METAIRIE, LA 70006
(504) 834-8232
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN071553 AP04841
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527190
—
LA
Enumeration date
03/18/2006
Last updated
02/25/2013
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