Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 212549 | LA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | 212549 | LA |
NPI | 1023632379 |
---|---|
Provider Name | Maitland Louise Frilot |
First Address | New Orleans, LA 70115-3678 |
Second Address | New Orleans, LA 70115-3678 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2020 |
Last Update Date | 14/05/2021 |