Individual
MARY BRIGNAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3966
Mailing address
872 LEMOYNE ST, NEW ORLEANS, LA 70124-2728
(832) 344-7906
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07874
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00938829
—
MS
05
—
2378988
—
LA
Enumeration date
08/18/2014
Last updated
03/16/2015
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