Individual
ANELISE KATHERINE DIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2021 PERDIDO ST RM 4444, NEW ORLEANS, LA 70112-1352
(504) 568-4890
Mailing address
2021 PERDIDO ST RM 4444, NEW ORLEANS, LA 70112-1352
(504) 568-4890
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
342529
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2024
Last updated
06/13/2024
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