Individual
DR. HEYDIE KAREN SCIACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4080 W AIRLINE HWY, RESERVE, LA 70084-5712
(985) 479-4080
(985) 479-4090
Mailing address
4080 W AIRLINE HWY, RESERVE, LA 70084-5712
(985) 479-4080
(985) 479-4090
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
MD.07156R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1956732
—
LA
Enumeration date
04/10/2008
Last updated
04/10/2008
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