Individual
CASSEN ELIZABETH UPHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2700 NAPOLEON AVE, NEW ORLEANS, LA 70115-6914
(504) 899-9311
Mailing address
625 GOULD TER, HERMOSA BEACH, CA 90254-2240
(310) 902-8040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013438
CA
Other
Enumeration date
03/21/2020
Last updated
03/21/2020
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