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Individual

DENISE TRENELL MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3925
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3925

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07276
LA
363LF0000X
Family Nurse Practitioner
RN123032
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04776373
MS
05
2324110
LA
Enumeration date
03/26/2013
Last updated
10/16/2013
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