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Northlake Rehab Professionals
Gerontology Nurse Practitioner in Hammond, Louisiana
NPI 1699744664

Northlake Rehab Professionals is a Gerontology Nurse Practitioner based in Hammond, LA and is specialized in Gerontology. Northlake Rehab Professionals practices in Hammond, LA. The NPI Number for Northlake Rehab Professionals is 1699744664 and holds a License No. 09912R (Louisiana).

The current practice location address for Northlake Rehab Professionals is 2101 Robin Ave, Hammond, LA and can be reached out via phone at 985-345-0033 and via fax at 985-345-1199. You can also correspond with Northlake Rehab Professionals through the mailing address at 2101 ROBIN AVE, HAMMOND, LA - 70403-5773 (mailing address contact number: 985-345-0033).

Location: 2101 Robin Ave, Hammond, LA, 70403-5773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699744664
Provider Name
Northlake Rehab Professionals
Credential
Provider Entity Type
Organization
Address
2101 Robin Ave, Hammond, LA, 70403-5773
Phone Number
985-345-0033
Fax Number
985-345-1199
Provider Enumeration Date
03/14/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1680818 05 LA
1625345 05 LA
institution
Provider Business Practice Location Address Details
Address
2101 Robin Ave
City
Hammond
State
Louisiana
Zip
70403-5772
Phone Number
985-345-0033
Fax Number
985-345-1199
person
Provider Business Mailing Address Details
Address
2101 Robin Ave
City
Hammond
State
Louisiana
Zip
70403-5773
Phone Number
985-345-0033
Fax Number
985-345-1199
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AP04607 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
09912R (Louisiana)
Definition
Definition to come...
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