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Individual

TANYA ANDREPONT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AU

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3023
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03972361
MS
05
1166391
LA
Enumeration date
10/12/2006
Last updated
05/08/2008
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