Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 259527 | MA |
N | 111NI0900X | Internist | 259527 | MA |
N | 207RH0002X | Hospice and Palliative Medicine | 036142651 | IL |
Y | 207RH0002X | Hospice and Palliative Medicine | 320849 | LA |
NPI | 1033523196 |
---|---|
Provider Name | Michelle Stacey Christopher |
First Address | New Orleans, LA 70112-2632 |
Second Address | New Orleans, LA 70112-2632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2014 |
Last Update Date | 25/01/2021 |