Individual
MRS. DEBORAH MARIE NETTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, CNS, FNP-C
Contact information
Practice address
111 N CAUSEWAY BLVD, METAIRIE, LA 70001-5450
(504) 301-7727
(504) 838-5104
Mailing address
111 CAUSEWAY BLVD, METARIE, LA 70001-2401
(504) 838-5100
(504) 838-5104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP03392
LA
364S00000X
Clinical Nurse Specialist
AP03392
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1550515
—
LA
Enumeration date
07/24/2006
Last updated
12/05/2014
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