Individual
EMILY BREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
(504) 842-0467
Mailing address
222 PRINCETON CIR, BELLE CHASSE, LA 70037-1310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
146313
LA
363LA2200X
Adult Health Nurse Practitioner
Primary
08055
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03271778
—
MS
05
—
2428349
—
LA
Enumeration date
10/22/2014
Last updated
11/30/2016
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