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Individual

MRS. JANICE BIRKHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
145 BRIANT ST, GRETNA, LA 70056-7136
(985) 643-4575
(833) 222-4520
Mailing address
2104 GAUSE BLVD W, STE. A, SLIDELL, LA 70460-4130
(985) 643-4575
(833) 222-4520

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO5076
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1191191
LA
Enumeration date
10/29/2007
Last updated
01/29/2024
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