Individual
DANIELLE MARIE RIVENBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2820 NAPOLEON AVE, NEW ORLEANS, LA 70115-6969
(504) 842-4960
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD.207265
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06939537
—
MS
05
—
2148796
—
LA
Enumeration date
05/16/2011
Last updated
04/24/2015
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