Individual
WENDY ANDERSON MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
112 GABRIELLE LN, DESTREHAN, LA 70047-3019
(985) 764-1775
Mailing address
112 GABRIELLE LN, DESTREHAN, LA 70047-3019
(504) 261-1989
(985) 764-1775
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2094
LA
Other
Enumeration date
08/02/2009
Last updated
08/02/2009
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