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Amanda Mitsch Theriot, FNP-BC
Family Nurse Practitioner in New Orleans, Louisiana
NPI 1750691812

Amanda Mitsch Theriot is a Family Nurse Practitioner based in New Orleans, LA and is specialized in Family. Amanda Mitsch Theriot practices in New Orleans, LA and has the professional credentials of FNP-BC. The NPI Number for Amanda Mitsch Theriot is 1750691812 and holds a License No. RN110773-AP06182 (Louisiana).

The current practice location address for Amanda Mitsch Theriot is 2000 Canal St, New Orleans, LA and can be reached out via phone at 504-655-3151.

Location: 2000 Canal St, New Orleans, LA, 70112-3018
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Provider Profile Details
NPI Number
1750691812
Provider Name
Amanda Mitsch Theriot
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2000 Canal St, New Orleans, LA, 70112-3018
Phone Number
504-655-3151
Fax Number
Provider Enumeration Date
10/07/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2187601 05 LA
60110206 01 LA LACARE MEDICAID PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2000 Canal St
City
State
Zip
70112-3018
Phone Number
504-655-3151
Fax Number
person
Provider Business Mailing Address Details
Address
2000 Canal St
City
State
Zip
70112-3018
Phone Number
504-655-3151
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN110773-AP06182 (Louisiana)
Definition
Definition to come...
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