Individual
VICTORIA WAGLEY TAULLIE
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) 842-3000
Mailing address
3700 ORLEANS AVE, APT 5213, NEW ORLEANS, LA 70119-4830
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08877
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03858830
—
MS
05
—
2431765
—
LA
Enumeration date
07/28/2016
Last updated
12/29/2016
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