Individual
KELLIE STOUDER NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 POYDRAS ST STE 1950, NEW ORLEANS, LA 70130-3341
(504) 322-3837
Mailing address
9028 MELROSE LN, RIVER RIDGE, LA 70123-2918
(504) 319-3911
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
228336
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228336
LOUISIANA STATE BOARD OF NURSING
LA
Enumeration date
11/22/2022
Last updated
11/22/2022
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