Individual
NADINE MARANATHA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1415 TULANE AVE FL 5, NEW ORLEANS, LA 70112
(504) 988-1001
(504) 988-1005
Mailing address
1430 TULANE AVE # 8587, NEW ORLEANS, LA 70112-2632
(504) 988-7325
(504) 988-3644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
307054
LA
207R00000X
Internal Medicine Physician
ME113454
FL
207RI0200X
Infectious Disease Physician
Primary
307054
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006249900
—
FL
Enumeration date
05/22/2009
Last updated
10/28/2019
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