Individual
CANDITA ROGERS THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3838 N CAUSEWAY BLVD STE 2200, METAIRIE, LA 70002-8306
(504) 301-7679
(504) 301-7679
Mailing address
3838 N CAUSEWAY BLVD STE 2200, METAIRIE, LA 70002-8306
(504) 301-7679
(504) 301-7679
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN081036
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1628620
—
LA
Enumeration date
09/13/2006
Last updated
01/31/2014
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