Individual
MITCHELL OTIS ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1900 GRAVIER ST, NEW ORLEANS, LA 70112-2262
(504) 568-4106
Mailing address
4812 BISSONET DR, METAIRIE, LA 70003-1136
(504) 669-8334
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
209032
LA
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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