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Individual

CARSTEN A PENNIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP02084
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07529308
MS
05
1023469
LA
Enumeration date
10/29/2007
Last updated
06/02/2008
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