Individual
MS. BRENDA DONATTO MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6760 CURRAN BLVD, NEW ORLEANS, LA 70126-1720
(504) 495-1384
Mailing address
6760 CURRAN BLVD, NEW ORLEANS, LA 70126-1720
(504) 495-1384
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03784
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1101109
—
LA
01
—
1285742403
NPI
LA
Enumeration date
08/28/2006
Last updated
03/04/2016
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