Individual
HEIDI C MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 842-2633
Mailing address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 842-2633
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN160772
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
235038
LA
Other
Enumeration date
04/10/2024
Last updated
04/25/2024
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