Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 08037 | LA |
NPI | 1023411766 |
---|---|
Provider Name | Catherine Nsikak Udofia |
First Address | New Orleans, LA 70126-2135 |
Second Address | New Orleans, LA 70119-7185 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2014 |
Last Update Date | 08/10/2021 |