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Individual

MRS. ANDREA NERO THEODORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC, FNP-C

Contact information

Practice address
2900 WESTFORK DR STE 401, BATON ROUGE, LA 70827-0004
(844) 644-4325
Mailing address
7300 FARWOOD DR, NEW ORLEANS, LA 70126-3260
(504) 338-9362

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP09533
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP09533
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2458523
LA
Enumeration date
08/11/2017
Last updated
08/19/2022
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