Organization
UNIVERSAL COMMUNITY CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA QUINN (NURSE PRACTITIONER)
(504) 319-1519
Entity
Organization
Contact information
Practice address
5640 READ BLVD, SUITE 530, NEW ORLEANS, LA 70127-3140
(504) 319-1519
Mailing address
1417 DRAKE LN, GRETNA, LA 70056-7784
(504) 319-1519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO4524
LA
363LF0000X
Family Nurse Practitioner
APO6145
LA
Other
Enumeration date
03/03/2012
Last updated
03/03/2012
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