Individual
DANIELLE FATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
95 JUDGE TANNER BLVD, COVINGTON, LA 70433-7500
(985) 867-3800
Mailing address
630 CASTINE POINT DR, MANDEVILLE, LA 70448-4402
(504) 339-3444
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN116488
LA
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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