Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 216084 | LA |
NPI | 1205344488 |
---|---|
Provider Name | Claudia Maria Kinslow |
First Address | Slidell, LA 70461 |
Second Address | New Orleans, LA 70121-2429 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2018 |
Last Update Date | 18/11/2020 |