Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AP06367 | LA |
N | 363LA2200X | Nurse Practitioner - Adult Health | AP06367 | LA |
NPI | 1003102021 |
---|---|
Provider Name | Elaine Alleman |
First Address | New Orleans, LA 70125-4124 |
Second Address | New Orleans, LA 70125-4124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2011 |
Last Update Date | 21/12/2011 |