Individual
AMY HAYNIE PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3434 PRYTANIA ST STE 105, NEW ORLEANS, LA 70115-3533
(504) 897-8412
Mailing address
3600 PRYTANIA ST STE 35, NEW ORLEANS, LA 70115-3678
(504) 897-8412
(504) 249-5311
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
L8889
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD.14023R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821011743
NPI
TX
05
—
191876501
—
TX
Enumeration date
07/25/2006
Last updated
01/26/2021
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