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Individual

PAMELA YOUNG TRAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, NNP

Contact information

Practice address
180 W. ESPLANADE AVENUE, KENNER, LA 70065
(504) 468-8600
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP02281
LA
363LN0000X
Neonatal Nurse Practitioner
Primary
AP02281
LA
363LN0000X
Neonatal Nurse Practitioner
RN035776
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03425032
MS
05
1722014
LA
Enumeration date
10/26/2006
Last updated
12/10/2013
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