Individual
MR. SHAY DANIEL IVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2221 MARIGNY ST, NEW ORLEANS, LA 70117-8045
(504) 407-8074
Mailing address
2221 MARIGNY ST, NEW ORLEANS, LA 70117-8045
(504) 407-8074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
000000000000
LA
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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