Individual
STEPHANIE FACIANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-5627
Mailing address
438 VILLAGE FARMS LN, FOLSOM, LA 70437-6120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP09967
LA
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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