Individual
OLIVIA CANNIZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 GARDENIA DR, COVINGTON, LA 70433-9194
(985) 898-4001
Mailing address
80 GARDENIA DR, COVINGTON, LA 70433-9194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
219304
LA
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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