Individual
MS. CAROLINE MICHELLE BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5620 READ BLVD, NEW ORLEANS, LA 70127-3106
(504) 592-6437
Mailing address
3601 HOUMA BLVD STE 300, METAIRIE, LA 70006-4310
(504) 412-1240
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
1477582526
LA
363LF0000X
Family Nurse Practitioner
Primary
223979
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
721304948
—
LA
Enumeration date
03/16/2022
Last updated
04/17/2024
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