Individual
MRS. MANDY RAE CARMOUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
2500 BELLE CHASSE HWY, GRETNA, LA 70458
(504) 391-5292
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN116317
LA
Other
Enumeration date
02/16/2021
Last updated
02/25/2025
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