Individual
STEPHANIE ANN SUBERVIELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3401 BEHRMAN PL, NEW ORLEANS, LA 70114-8216
(504) 371-9323
Mailing address
3401 BEHRMAN PL, NEW ORLEANS, LA 70114-8216
(504) 371-9323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07331
LA
363LF0000X
Family Nurse Practitioner
RN122832
LA
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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