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Individual

MS. ELISE MCHALE CREED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(866) 624-7637
Mailing address
2700 NAPOLEON AVE, NEW ORLEANS, LA 70115-6914
(504) 899-9311

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
310463
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1157043
NCCPA CERTIFICATION
01
310463
LOUISIANA STATE BOARD OF MEDICAL EXAMINERS
LA
Enumeration date
09/05/2018
Last updated
03/15/2019
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