Nettles, Deborah Marie
Nettles, Deborah Marie is an individual health care provider with primary practice located at 111 N Causeway Blvd , Metairie LA 70001-5450. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Nettles, Deborah Marie can be contacted via phone (504) 301-7727.Contact Information
Primary practice address
111 N Causeway Blvd
Metairie LA 70001-5450
Phone: (504) 301-7727
Fax: (504) 838-5104
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP03392 | Louisiana |
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | AP03392 | Louisiana |
Profile Details
NPI number | 1336161108 |
---|---|
LBN Legal business name | Nettles, Deborah Marie |
Credentials | MN, CNS, FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 24th, 2006 |
Last updated | Dec 5th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1336161108 | NPPES |
Louisiana | MEDICAID | 1550515 |
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