Individual
MRS. TINA GAIL NORTHUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC-NIC
Contact information
Practice address
211 4TH ST, ALEXANDRIA, LA 71301-8421
(318) 769-3000
Mailing address
3403 ELLIOTT ST, ALEXANDRIA, LA 71301-4810
(318) 541-5187
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP06822
LA
Other
Enumeration date
08/22/2011
Last updated
08/23/2025
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