Individual
CHRISTIE MARIE WITHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2OO HENRY CLAY AVENUE, NEW ORLEANS, LA 70118
(504) 380-0409
Mailing address
454 J J LN, COVINGTON, LA 70433-6989
(985) 774-8409
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
221362
LA
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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