Individual
ALICE NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 W GATEHOUSE DR APT G, METAIRIE, LA 70001-2095
(918) 630-5748
Mailing address
306 W GATEHOUSE DR APT G, METAIRIE, LA 70001-2095
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
154847
TX
Other
Enumeration date
05/02/2025
Last updated
06/11/2025
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