Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | RN088296 | LA |
NPI | 1043252216 |
---|---|
Provider Name | Ms. Chaniel Felica Age |
First Address | New Orleans, LA 70128-3614 |
Second Address | New Orleans, LA 70130-5022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 08/04/2011 |