Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 211871 | LA |
NPI | 1194358341 |
---|---|
Provider Name | Mrs. Margaret Coleman |
First Address | Houma, LA 70360-8416 |
Second Address | Metairie, LA 70001-1269 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2020 |
Last Update Date | 17/02/2020 |