Organization
GEAUX MEDICAL STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATNENA LUSTER FNP (OWNER)
(901) 288-5200
Entity
Organization
Contact information
Practice address
3436 MAGAZINE ST # 8059, NEW ORLEANS, LA 70115-2413
(844) 811-5464
(844) 800-5308
Mailing address
117 AUTUMN CREEK DR, MADISONVILLE, LA 70447-3603
(901) 288-5200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP05600
LA
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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