Organization
NIGHTWATER CLINIC, LLC
Active
Parent organization
NIGHTWATER HEALTH, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NIGHTWATER HEALTH, INC
Authorized official
DR. PAUL IKEMIRE MD (MEMBER)
(504) 372-2948
Entity
Organization
Contact information
Practice address
719 OKEEFE AVE, NEW ORLEANS, LA 70113-1906
(504) 381-4204
Mailing address
111 WATER ST STE 4, EXETER, NH 03833-2456
(603) 247-5442
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
09/29/2022
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