Amanda M. Theriot FNP-BC
Family Nurse Practitioner in New Orleans, LA(View on Map)
Full Name
Amanda Mitsch Theriot FNP-BC
NPI Number
1750691812
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/07/2010
Specialties
(Taxonomies)Licenses
State
Louisiana
Louisiana
Mississippi
License Number
AP06182
RN110773-AP06182
904786
Contact
Information
Purpose
Mailing
Location
Address
2000 CANAL ST
2000 CANAL ST
City
New Orleans
New Orleans
State
LA
LA
Postal Code
70112-3018
70112-3018
Country
US
US
Telephone Number
(504) 655-3151
(504) 655-3151
Identifiers
Identifier
2187601
60110206
Identifier State
LA
LA
Identifier Issuer
Unknown
LACARE MEDICAID PROVIDER NUMBER
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/04/2023