Individual
DR. NATHALIE SERPA MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HENRY CLAY AVE FL 1, NEW ORLEANS, LA 70118
(504) 232-1562
Mailing address
200 HENRY CLAY AVE FL 1, NEW ORLEANS, LA 70118-5720
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
320103
LA
208000000X
Pediatrics Physician
A134922
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320103
MEDICAL LICENSE
LA
Enumeration date
04/02/2013
Last updated
08/23/2019
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