Individual
COLLEEN STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP02626
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124797
—
MS
05
—
1104078
—
LA
Enumeration date
09/13/2006
Last updated
02/09/2017
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