Individual
ANITA FAZZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
141 TWIN OAKS DR, RACELAND, LA 70394-2761
(985) 537-2666
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
227417
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
227417
LA
Other
Enumeration date
09/30/2022
Last updated
11/30/2022
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