Individual
CESILIE LAURA HAEFELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3925 N I 10 SERVICE RD W STE 117, METAIRIE, LA 70002-6831
(504) 689-9948
Mailing address
3925 N I 10 SERVICE RD W, METAIRIE, LA 70002-6867
(504) 715-8597
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
205744
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65-0848685
—
LA
Enumeration date
08/11/2022
Last updated
08/11/2022
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