Individual
VIDYA K MANDHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN FNPC
Contact information
Practice address
2222 SIMON BOLIVAR AVE, FL 2, NEW ORLEANS, LA 70113-1460
(504) 658-2785
(504) 658-2784
Mailing address
2222 SIMON BOLIVAR AVE, FL 2, NEW ORLEANS, LA 70113-1460
(504) 363-4711
(504) 363-4741
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN087376
LA
363LF0000X
Family Nurse Practitioner
Primary
AP020536
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1782661
—
LA
Enumeration date
07/05/2006
Last updated
02/17/2017
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