Individual
MRS. AMBER DELASALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
15770 PAUL VEGA MD DR STE 202, HAMMOND, LA 70403-1475
(985) 230-7495
Mailing address
15770 PAUL VEGA MD DR STE 202, HAMMOND, LA 70403-1475
(985) 230-7495
(985) 230-7496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
145631
LA
163W00000X
Registered Nurse
897729
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
225431
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538816616
NPPES
LA
05
—
2593340
—
LA
Enumeration date
03/08/2022
Last updated
12/08/2022
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