Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 01182 | LA |
NPI | 1033646963 |
---|---|
Provider Name | Mrs. Donna Isenmann Rivera |
First Address | New Orleans, LA 70115-6914 |
Second Address | New Orleans, LA 70115-6914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2017 |
Last Update Date | 23/05/2017 |