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Individual

MICHELLE THEARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-AC

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-5044
Mailing address
1000 CREEK CT, MANDEVILLE, LA 70448-7404
(504) 343-4714

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
208434
LA

Other

Enumeration date
08/30/2019
Last updated
08/30/2019
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