Individual
LILIA HENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4421 CONLIN ST STE 101, METAIRIE, LA 70006-2145
(504) 455-2002
Mailing address
1111 MEDICAL CENTER BLVD STE S750, MARRERO, LA 70072-3197
(504) 669-8246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN136138
LA
363LF0000X
Family Nurse Practitioner
207909
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
207909
LA
Other
Enumeration date
07/14/2019
Last updated
10/23/2024
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