Individual
MARY ELLEN VANZANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1101 MEDICAL CENTER BLVD., ER, MARRERO, LA 70072-0000
(504) 349-1533
(504) 349-1530
Mailing address
1101 MEDICAL CENTER BLVD., ER, MARRERO, LA 70072-0000
(504) 349-1533
(504) 349-1530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN070437 AP03284
LA
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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