Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | AP04432 | LA |
NPI | 1013338094 |
---|---|
Provider Name | Julia Siren |
First Address | New Orleans, LA 70112-3503 |
Second Address | New Orleans, LA 70112-3503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2013 |
Last Update Date | 15/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2382241 | (05) | LA |