Individual
HEATHERLY HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018
(504) 702-3000
Mailing address
412 WESTMORELAND DR, BATON ROUGE, LA 70806-5163
(225) 439-0436
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
131917
LA
363LF0000X
Family Nurse Practitioner
Primary
AP09456
LA
Other
Enumeration date
06/06/2017
Last updated
08/18/2017
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