Individual
MISS IRIELLE L. BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1401 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4747
(504) 842-1242
Mailing address
66 MELROSE DR, DESTREHAN, LA 70047-2008
(504) 621-7041
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
122898-7291
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679918692
—
LA
Enumeration date
05/03/2013
Last updated
09/09/2019
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