Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | AP06080 | LA |
NPI | 1003277088 |
---|---|
Provider Name | Mrs. Angela Ann Noya |
First Address | Metairie, LA 70001-7404 |
Second Address | Metairie, LA 70001-7404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2016 |
Last Update Date | 12/10/2018 |