Individual
CHARLOTTE MARIE CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3501 SEVERN AVE STE 8, METAIRIE, LA 70002-3456
(985) 479-8000
(504) 835-0565
Mailing address
3329 JASON LN, GRETNA, LA 70056-8633
(504) 392-3532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RNO64244APO3780
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1108090
—
LA
Enumeration date
10/09/2006
Last updated
06/16/2018
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