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Individual

MRS. AMANDA RICHARD GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MN, APRN, FNP-C

Contact information

Practice address
148 WALL BLVD, GRETNA, LA 70056-7107
(504) 393-2273
(504) 393-2744
Mailing address
148 WALL BLVD, GRETNA, LA 70056-7107
(504) 393-2273
(504) 393-2744

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN123165
LA
363LF0000X
Family Nurse Practitioner
Primary
AP08005
LA

Other

Enumeration date
11/04/2014
Last updated
05/09/2016
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