Individual
STACY N EFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1101 MEDICAL CENTER BLVD., ER, MARRERO, LA 70072
(504) 349-1533
(504) 349-1530
Mailing address
1101 MEDICAL CENTER BLVD., ER, MARRERO, LA 70072
(504) 349-1533
(504) 349-1530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07489
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP07489
APRN LICENSE
LA
Enumeration date
08/16/2013
Last updated
08/29/2014
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